Individual provider · Type 1 NPI
Michael William Matisko Jr., DMD, M.S.D.
Periodontics · Monroeville, PA
NPI number
1124165915
Active
Practice location
170 Jamison Ln
Monroeville, PA 15146-2327
Fax (412) 349-0097
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | DS-025303-L (PA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
3 other providers at this address
Other periodontics providers in Monroeville
About NPI 1124165915
Michael William Matisko Jr., DMD, M.S.D.'s National Provider Identifier is 1124165915, issued on Jan 31, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Monroeville, PA. The record was last updated on Jul 8, 2007.