Provider Demographics
NPI:1669694964
Name:MURCKO, ALOYSIUS VINCETN SR (DMD)
Entity type:Individual
Prefix:
First Name:ALOYSIUS
Middle Name:VINCETN
Last Name:MURCKO
Suffix:SR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1468 BEND ROAD
Mailing Address - Street 2:
Mailing Address - City:MERCER
Mailing Address - State:PA
Mailing Address - Zip Code:16137-2404
Mailing Address - Country:US
Mailing Address - Phone:724-347-2410
Mailing Address - Fax:
Practice Address - Street 1:7421 SHARON MERCER ROAD
Practice Address - Street 2:
Practice Address - City:MERCER
Practice Address - State:PA
Practice Address - Zip Code:16137-6538
Practice Address - Country:US
Practice Address - Phone:724-981-6380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS017341L204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery