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Dr. Michael William Matisko JR.

Periodontist

170 Jamison Ln
Monroeville , Pennsylvania 15146-2327

Write a Review Save Call QR Code

(412) 349-0097

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Dr. Michael William Matisko JR.

Periodontist

170 Jamison Ln
Monroeville , Pennsylvania 15146-2327

(412) 349-0097

Write a Review Save Call

Dr. Michael William Matisko JR.

Periodontist

170 Jamison Ln
Monroeville , Pennsylvania 15146-2327

(412) 349-0097 Call

Write a Review Save
About
Location
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Dr. Michael William Matisko JR.
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About

Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Periodontist

Languages spoken

  • English

Location

170 Jamison Ln Monroeville , Pennsylvania 15146-2327
Get Directions

First Address

  • Dr. Michael William Matisko JR.
  • 170 Jamison Ln
  • Monroeville, PA
  • Zip : 15146-2327
  • Fax : (412) 349-0097
  • Phone : (412) 823-8908

Second Address

  • Dr. Michael William Matisko JR.
  • 170 Jamison Ln
  • Monroeville, PA
  • Zip : 15146-2327
  • Fax : (412) 349-0097
  • Phone : (412) 823-8908

Reviews

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FAQs

Where did Dr. Michael William Matisko JR. attend graduate school?

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Where did Dr. Michael William Matisko JR. do his residency?

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Where did Dr. Michael William Matisko JR. do his fellowship?

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Is Dr. Michael William Matisko JR. board certified?

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What type of doctor is Dr. Michael William Matisko JR.

Periodontist

In what state does Dr. Michael William Matisko JR. practice in?

Pennsylvania

Where is Dr. Michael William Matisko JR.’s practice located?

170 Jamison Ln , Monroeville, Pennsylvania, 15146-2327

What is Dr. Michael William Matisko JR.’s gender?

Male

Is Dr. Michael William Matisko JR. a sole practitioner?

No

Is Dr. Michael William Matisko JR. accepting new patients?

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What languages does Dr. Michael William Matisko JR. speak?

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Does Dr. Michael William Matisko JR. accept insurance?

Yes, Dr. Michael William Matisko JR. accepts insurance

Does Dr. Michael William Matisko JR. offers telemedicine?

Dr. Michael William Matisko JR. has not indicated if he offers telemedicine

What is Dr. Michael William Matisko JR.’s professional license number?

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What is Dr. Michael William Matisko JR.’s NPI number?

1124165915

Does Dr. Michael William Matisko JR. have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1223P0300X Periodontist DS-025303-L PA

National Provider Identifier

NPI 1124165915
Provider Name Dr. Michael William Matisko JR.
First Address Monroeville, PA 15146-2327
Second Address Monroeville, PA 15146-2327
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 31/01/2007
Last Update Date 08/07/2007

NPI Footnotes

What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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