Healthcare Provider Details

I. General information

NPI: 1932198009
Provider Name (Legal Business Name): LEONARD M CYTERSKI DMD,MS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/20/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4485 WILLIAM FLYNN HWY
ALLISON PARK PA
15101-1424
US

IV. Provider business mailing address

4485 WILLIAM FLYNN HWY
ALLISON PARK PA
15101-1424
US

V. Phone/Fax

Practice location:
  • Phone: 412-492-8700
  • Fax: 412-655-8204
Mailing address:
  • Phone: 412-492-8700
  • Fax: 412-655-8204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDS0272524
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: