DR. JACK E VANDE VISSE JR. DMD
NPI 1982718094
Dentist - Endodontics in Pittsburgh, PA

Active since August 18, 2006
110 FORT COUCH RD, PITTSBURGH, PA 15241(412) 833-8400 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jack E Vande Visse Jr. Dmd NPPES

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

DR. JACK E VANDE VISSE JR. DMD (NPI 1982718094) is an individual endodontics provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (DS018824L) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1982718094
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameDR. JACK E VANDE VISSE JR.Credential: DMD
Location Address110 FORT COUCH RDPittsburgh, PA 15241-1030
Mailing Address110 Fort Couch RdPittsburgh, PA 15241-1030 · (412) 833-8400
Sole ProprietorNo
Enumeration DateAugust 18, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1982718094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License Licensed in PA · DS018824L
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
110 FORT COUCH RD, Pittsburgh, PA 15241

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Dentist (Endodontics)
110 FORT COUCH RD
PITTSBURGH, PA 15241
Dermatology
110 FORT COUCH RD, SUITE 203
PITTSBURGH, PA 15241
Dermatology
110 FORT COUCH RD, SUITE 203
PITTSBURGH, PA 15241
Counselor (Professional)
110 FORT COUCH RD
PITTSBURGH, PA 15241
Obstetrics & Gynecology
110 FORT COUCH RD, 2D FLOOR
PITTSBURGH, PA 15241
Psychologist (Clinical)
110 FORT COUCH RD, SUITE G-200
PITTSBURGH, PA 15241
Psychologist (Clinical)
110 FORT COUCH RD
PITTSBURGH, PA 15241
Counselor (Professional)
110 FORT COUCH RD, STE. 201
PITTSBURGH, PA 15241

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 Jack Vande Visse's NPI number?

The NPI number for Jack Vande Visse is 1982718094. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Jack Vande Visse located?

Jack Vande Visse practices at 110 Fort Couch Rd, Pittsburgh, PA 15241. The listed phone number is (412) 833-8400.

What is Jack Vande Visse's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

What insurance does Jack Vande Visse accept?

Health plans from Humana list Jack Vande Visse as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Vande Visse was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.