Individual provider · Type 1 NPI
Justin Pisano, DDS
Oral and Maxillofacial Surgery (Dentist) · Oklahoma City, OK
Practice location
429 NW 11th St, Apt 6
Oklahoma City, OK 73103-3927
Mailing address
1942 Sherman St SE
Grand Rapids, MI 49506-2918
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 1318 (OK) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 2901022858 (MI) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1477927085
Justin Pisano, DDS's National Provider Identifier is 1477927085, issued on Nov 19, 2015. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Oklahoma City, OK. The record was last updated on Dec 8, 2021.