MEDICARE: DR. JOHN S WARWICK DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DS025782L	PA

General Provider Information

NPI Number	:	1487613295
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN S WARWICK DMD

Provider Business Mailing Address
First Line	:	500 GRANT ST
Second Line	:	ONE MELLON CENTER-UL
City	:	PITTSBURGH
State	:	PA
Zip	:	15219-2502
Country	:	US
Telephone Number	:	412-391-1130
Fax Number	:	412-391-2992

Provider Business Practice Location Address
First Line	:	500 GRANT ST
Second Line	:	ONE MELLON CENTER-UL
City	:	PITTSBURGH
State	:	PA
Zip	:	15219-2502
Country	:	US
Telephone Number	:	412-391-1130
Fax Number	:	412-391-2992

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2006
Last Update Date	:	07/08/2007

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