Provider Demographics
NPI:1306668470
Name:MASCIO DENTAL ASSOCIATES PLLC
Entity type:Organization
Organization Name:MASCIO DENTAL ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:MASCIO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:724-729-4017
Mailing Address - Street 1:140 STEUBENVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:BURGETTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15021-8532
Mailing Address - Country:US
Mailing Address - Phone:724-729-4017
Mailing Address - Fax:724-729-1002
Practice Address - Street 1:420 ELAINE ST
Practice Address - Street 2:
Practice Address - City:WEIRTON
Practice Address - State:WV
Practice Address - Zip Code:26062-3760
Practice Address - Country:US
Practice Address - Phone:304-723-2021
Practice Address - Fax:301-723-2030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-29
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental