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DR. JUSTIN PISANO D.D.S.
NPI 1477927085
Dentist - Oral and Maxillofacial Surgery in Oklahoma City, OK

Active since November 19, 2015
429 NW 11TH ST, APT 6, OKLAHOMA CITY, OK 73103(734) 604-1843 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 8, 2021, Nov 19, 2015 (2 updates tracked since 2015).

About Dr. Justin Pisano D.d.s. NPPES

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

DR. JUSTIN PISANO D.D.S. (NPI 1477927085) is an individual oral and maxillofacial surgery provider in Oklahoma City, Oklahoma, licensed in Michigan (2901022858) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1477927085
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JUSTIN PISANOCredential: D.D.S.
Location Address429 NW 11TH ST, APT 6Oklahoma City, OK 73103-3927
Mailing Address1942 Sherman St SeGrand Rapids, MI 49506-2918 · (734) 604-1843
Phone(734) 604-1843
Sole ProprietorYes
Enumeration DateNovember 19, 2015
Last NPPES UpdateDecember 8, 20212 updates tracked since enumeration
NPPES CertifiedDecember 8, 2021
✔ NPI 1477927085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in MI · 2901022858✔ Licensed in OK · 1318
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

429 NW 11TH ST, Oklahoma City, OK 73103
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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 Justin Pisano's NPI number?

The NPI number for Justin Pisano is 1477927085. It was assigned to this individual provider in the NPPES registry on November 19, 2015.

Where is Justin Pisano located?

Justin Pisano practices at 429 NW 11th St Apt 6, Oklahoma City, OK 73103. The listed phone number is (734) 604-1843.

What is Justin Pisano's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Justin Pisano was last updated on December 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.