Provider Demographics
NPI:1841461886
Name:PIKNA, JOSEPH J
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:J
Last Name:PIKNA
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:JOSEPH
Other - Middle Name:J
Other - Last Name:PIKNA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:247 EAST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16371-1171
Mailing Address - Country:US
Mailing Address - Phone:814-563-4671
Mailing Address - Fax:814-563-4935
Practice Address - Street 1:247 EAST MAIN STREET
Practice Address - Street 2:
Practice Address - City:YOUNGSVILLE
Practice Address - State:PA
Practice Address - Zip Code:16371-1171
Practice Address - Country:US
Practice Address - Phone:814-563-4671
Practice Address - Fax:814-563-4935
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS028830L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA676477OtherUNITED CONCORDIA