Provider Demographics
NPI:1760741631
Name:PECHERSKY VALASEK LLC
Entity Type:Organization
Organization Name:PECHERSKY VALASEK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JACK
Authorized Official - Middle Name:L
Authorized Official - Last Name:PECHERSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD,MDS
Authorized Official - Phone:412-422-1582
Mailing Address - Street 1:2345 MURRAY AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-2361
Mailing Address - Country:US
Mailing Address - Phone:412-422-1582
Mailing Address - Fax:
Practice Address - Street 1:2345 MURRAY AVE STE 220
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-2361
Practice Address - Country:US
Practice Address - Phone:412-422-1582
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-11
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS016789L1223P0221X
PADS0372631223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty