Healthcare Provider Details

I. General information

NPI: 1477536001
Provider Name (Legal Business Name): JOHN MORRIS PIERCE DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/29/2005
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

580 S AIKEN AVE SUITE 630
PITTSBURGH PA
15232-1531
US

IV. Provider business mailing address

580 S AIKEN AVE SUITE 630
PITTSBURGH PA
15232-1531
US

V. Phone/Fax

Practice location:
  • Phone: 412-687-5589
  • Fax: 412-687-2078
Mailing address:
  • Phone: 412-687-5589
  • Fax: 412-687-2078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberDS015938L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: