Innovative Endodontics North

NPI #1023428679 in Sewickley, Pennsylvania

Provider Information

NPI Number: 1023428679
Entity Type: Organization
Organization Name: Innovative Endodontics North
Primary Specialty: Dentist - Endodontics
Enumeration Date: May 5, 2014
Last Updated: May 5, 2014

Practice Location

Address: 2593 WEXFORD BAYNE RD
Address 2: SUITE 304
City: Sewickley
State: Pennsylvania
ZIP Code: 15143-8608
Phone: (724) 940-3963

Authorized Official

Name: DR. MICHAEL E. LISIEN, DMD
Title: PRESIDENT
Phone: (724) 940-3963

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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