Provider Demographics
NPI:1427061985
Name:DIPERNA, JAMES ALEXANDER JR (DMD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:ALEXANDER
Last Name:DIPERNA
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:563 EPSILON DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-2816
Mailing Address - Country:US
Mailing Address - Phone:412-963-1911
Mailing Address - Fax:412-967-1972
Practice Address - Street 1:563 EPSILON DR
Practice Address - Street 2:SUITE 300
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-2816
Practice Address - Country:US
Practice Address - Phone:412-963-1911
Practice Address - Fax:412-967-1972
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS-025943-L1223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics