Provider Demographics
NPI:1013132182
Name:PIERCHALSKI, GEMMA LOUISE (DMD)
Entity Type:Individual
Prefix:
First Name:GEMMA
Middle Name:LOUISE
Last Name:PIERCHALSKI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7360 STEUBENVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15071
Mailing Address - Country:US
Mailing Address - Phone:412-788-6008
Mailing Address - Fax:
Practice Address - Street 1:7360 STEUBENVILLE PIKE
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:PA
Practice Address - Zip Code:15071
Practice Address - Country:US
Practice Address - Phone:412-788-6008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS025268L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice