SearchOklahoma1223S0112X

Justin Pisano, D.D.S

NPI 1477927085 · on the registry since 2015 · sole proprietor

Practice

Address
429 Nw 11th St
Apt 6
Oklahoma City, OK 73103
Phone
(734) 604-1843

Registry record

Primary taxonomy
1223S0112X
1223S0112X
Also registered as
1223S0112X
Licence states on file
OK, MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-12-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma