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NICHOLAS J FEDORKA DMD PC
NPI 1265571426
Dentist - Oral and Maxillofacial Pathology in Meadville, PA

Active since February 05, 2007
505 POPLAR STREET, MEADVILLE, PA 16335(814) 333-4454(814) 336-3357 Get Directions Write a Review

NPPES record last updated: October 2, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicholas J Fedorka Dmd Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS J FEDORKA DMD PC (NPI 1265571426) is a healthcare organization registered as an oral and maxillofacial pathology in Meadville, Pennsylvania and active in the NPI registry since February 2007. The organization lists Nicholas Jerome Fedorka, Owner Oral & Maxillofacial Surgeon, as its authorized official.

NPPES Registry Identity

NPI1265571426
Entity TypeOrganization
Primary Taxonomy1223P0106X
Legal Business NameNICHOLAS J FEDORKA DMD PC
Location Address505 POPLAR STREETMeadville, PA 16335
Mailing Address505 Poplar StreetMeadville, PA 16335 · (814) 333-4454 · Fax (814) 336-3357
Phone(814) 333-4454
Fax(814) 336-3357
Organization SubpartNo
Authorized OfficialNicholas Jerome FedorkaOwner Oral & Maxillofacial Surgeon · (814) 336-3357
Enumeration DateFebruary 5, 2007
Last NPPES UpdateOctober 2, 2007
✔ NPI 1265571426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial PathologyDental Providers
Taxonomy Code1223P0106X
License✔ Licensed in PA · DS023205L
Definition
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations.
505 POPLAR STREET, Meadville, PA 16335
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Other Identifiers 6

Other134372Highmark Bcbs
Medicare ID-Type Unspecified197431
Medicaid0008854040004PA
Medicare UPINT30120
Other103082Upmc
Medicaid0008854040002PA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN A HLAUDY DMD, ORAL AND MAXILLOFACIAL SURGERY, PC
Clinic/Center (Oral and Maxillofacial Surgery)
505 POPLAR STREET, SUITE 308
MEADVILLE, PA 16335
Crawford County (814) 373-3032

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas J Fedorka Dmd PC's NPI number?

The NPI number for Nicholas J Fedorka Dmd PC is 1265571426. It was assigned to this organization in the NPPES registry on February 5, 2007.

Where is Nicholas J Fedorka Dmd PC located?

Nicholas J Fedorka Dmd PC is located at 505 Poplar Street, Meadville, PA 16335. The listed phone number is (814) 333-4454.

What is Nicholas J Fedorka Dmd PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Pathology, with taxonomy code 1223P0106X.

When was this NPI record last updated?

The NPPES record for Nicholas J Fedorka Dmd PC was last updated on October 2, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.