| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JOHN PAWLOWICZ | 1710244058 | 2024-01-07 |
John Pawlowicz is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1710244058. Registration indicates John Pawlowicz is a provider of access to dentists-general services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist, ) (Dental, ) (Dentist, Dental Providers)
| Registration | PART-B:Y DME:Y HHA:Y PMD:N |
| Entity Type | Individual |
| Provider Name | Dr. John Pawlowicz DMD, MICCMO, LVIF |
| Practice Office Address | 732 WINTER PARK DR MARS, PA US |
| Practice Office Telephone | 4126292886 |
| Mailing Address | 732 WINTER PARK DR MARS, PA 160463950 US |
| Business Telephone | 7247791324 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 516 Hansen Ave | Lyndora, PA 160451366 | 7242874000 / 7242874088 |
| Code | Practice | License No State |
|---|---|---|
| 122300000X PRIMARY | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist Dental Dentist Dental Providers | DS028809L
PA |