MEDICARE: DR. MICHAEL VINCENT JACONSKI 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	DS-025964-L	PA

General Provider Information

NPI Number	:	1982775854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL VINCENT JACONSKI DMD

Provider Business Mailing Address
First Line	:	4000 MOUNT ROYAL BLVD
Second Line	:
City	:	ALLISON PARK
State	:	PA
Zip	:	15101-2918
Country	:	US
Telephone Number	:	412-486-6777
Fax Number	:	412-487-8161

Provider Business Practice Location Address
First Line	:	4000 MOUNT ROYAL BLVD
Second Line	:
City	:	ALLISON PARK
State	:	PA
Zip	:	15101-2918
Country	:	US
Telephone Number	:	412-486-6777
Fax Number	:	412-487-8161

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

Provider Enumeration Date	:	11/13/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1619052040 — MICHAEL V. JACONSKI, DMD,PC
Practice Location Address:

4000 MOUNT ROYAL BLVD
ALLISON PARK, PA
15101-2918

Practice Phone: 412-486-6777
Practice Fax: 412-487-8161

1174380885 — MHN INFUSIONS GROUP LLC
Practice Location Address:

1369 E HYDE PARK BLVD UNIT G1
CHICAGO, IL
60615-2918

Practice Phone: 214-566-8175
Practice Fax:

1306905260 — MS. SHARON M BIANCO D.C.
Practice Location Address:

5000 ALLEN RD
ALLEN PARK, MI
48101-2918

Practice Phone: 313-386-1050
Practice Fax: 313-386-2103

1912066861 — DR. JOHN M HOFMANN D.C.
Practice Location Address:

5000 ALLEN RD
ALLEN PARK, MI
48101-2918

Practice Phone: 313-386-1050
Practice Fax: 313-386-2103

1598801029 — HOFMANN CHIROPRACTIC CLINIC, P.C.
Practice Location Address:

5000 ALLEN RD
ALLEN PARK, MI
48101-2918

Practice Phone: 313-386-1050
Practice Fax: 313-386-2103

1962545269 — DR. CHARLES W AMPADU MD
Practice Location Address:

15 PARK PL
SWANSEA, IL
62226-2918

Practice Phone: 618-257-0780
Practice Fax: 618-257-0715

Directions to “ DR. MICHAEL VINCENT JACONSKI DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.