Provider Demographics
NPI:1316052053
Name:STYPULA, MICHAEL C (DDS, MDS)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:C
Last Name:STYPULA
Suffix:
Gender:M
Credentials:DDS, MDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2555 WASHINGTON RD
Mailing Address - Street 2:SUITE 621
Mailing Address - City:UPPER ST CLAIR
Mailing Address - State:PA
Mailing Address - Zip Code:15241-2574
Mailing Address - Country:US
Mailing Address - Phone:412-833-5110
Mailing Address - Fax:412-833-7597
Practice Address - Street 1:2555 WASHINGTON RD
Practice Address - Street 2:SUITE 621
Practice Address - City:UPPER ST CLAIR
Practice Address - State:PA
Practice Address - Zip Code:15241-2574
Practice Address - Country:US
Practice Address - Phone:412-833-5110
Practice Address - Fax:412-833-7597
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS023832L1223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics