Provider Demographics
NPI:1366539785
Name:PECHERSKY, MARK S (DMD)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:S
Last Name:PECHERSKY
Suffix:
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 1:170 JAMISON LN
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2327
Mailing Address - Country:US
Mailing Address - Phone:412-823-2450
Mailing Address - Fax:
Practice Address - Street 1:170 JAMISON LN
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2327
Practice Address - Country:US
Practice Address - Phone:412-823-2450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS18501L1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry