Provider Demographics
NPI:1194982934
Name:PAWLOWICZ, JAMES KEVIN (DDS)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:KEVIN
Last Name:PAWLOWICZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1144 OLD FREEPORT RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-3109
Mailing Address - Country:US
Mailing Address - Phone:412-781-3030
Mailing Address - Fax:
Practice Address - Street 1:1144 OLD FREEPORT RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-3109
Practice Address - Country:US
Practice Address - Phone:412-781-3030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA028233L1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics