IndividualActive
Mark Nista, D.M.D.
NPI 1912090820 · General Practice Dentistry · Export, PA
Provider details
- NPI number
- 1912090820
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- DS-030346L (PA)
Specialties & taxonomies
Dental Providers
Practice location
105 Pfeffer Rd
Suite 2
Export, PA 15632-1934
Phone: (724) 733-3766
Fax: (724) 325-8058
Approximate (ZIP-level) locationGet directions
Mailing address
105 Pfeffer Rd
Export, PA 15632-1934
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.