Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jack E Vande Visse Jr., DMD

Individual provider Endodontics · NPI 1982718094

Dr. Jack E Vande Visse Jr., DMD is an Endodontics in Pittsburgh, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

110 Fort Couch Rd
Pittsburgh, PA 15241-1030
Phone: (412) 833-8400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence DS018824L (PA)

Record details

NPI number1982718094
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 18, 2006
Last updated in NPPESJuly 8, 2007

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