Provider Demographics
NPI:1912254947
Name:PIKUR, MARK M (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:M
Last Name:PIKUR
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9022 OLD PERRY HWY
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-4765
Mailing Address - Country:US
Mailing Address - Phone:412-366-0600
Mailing Address - Fax:412-366-0600
Practice Address - Street 1:9022 OLD PERRY HWY
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-4765
Practice Address - Country:US
Practice Address - Phone:412-366-0600
Practice Address - Fax:412-366-0600
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-09
Last Update Date:2012-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS026045L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist