Provider Demographics
NPI:1811986912
Name:CERTO, JOSEPH SALVATORE (DMD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:SALVATORE
Last Name:CERTO
Suffix:
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 1:1350 LOCUST ST
Mailing Address - Street 2:307
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-4738
Mailing Address - Country:US
Mailing Address - Phone:412-232-7735
Mailing Address - Fax:412-232-7186
Practice Address - Street 1:1350 LOCUST ST
Practice Address - Street 2:307
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-4738
Practice Address - Country:US
Practice Address - Phone:412-232-7735
Practice Address - Fax:412-232-7186
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-20
Last Update Date:2008-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS022858-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice