UPMC BRADDOCK DENTAL CENTER (NPI# 1457579773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457579773 |
| Entity Type | Organization |
| Organization Name | UPMC BRADDOCK DENTAL CENTER |
| Practice Address |
450 Holland Ave Suite 209 Braddock PA 15104-1536 |
| Mailing Address |
450 Holland Ave. Suite 209 Braddock PA 15104-1536 |
| Practice Telephone | 4126365187 |
| Practice Fax Number | 4126365248 |
| Mailing Telephone | 4126365187 |
| Mailing Fax Number | 4126365248 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MARK S. SEVCO (PRESIDENT) |
| Authorized Official Telephone | 4126365100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007360690010 | 05 | |
| PA | UNITED CONCORDIA | 1411127 | 01 |
| PA | 101566-1 | 05 |
| Street Address |
450 HOLLAND AVE SUITE 209 |
| City | BRADDOCK |
| State | PA |
| Zip Code | 15104-1536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407828361 | Seetha T Chandra | Specialist | 450 Holland Ave, Suite 107, Braddock, PA 15104-1536 | 2006-02-06 |
| 1932235082 | Upmc Community Medicine Inc | Internal Medicine | 450 Holland Ave, Suite 107, Braddock, PA 15104-1536 | 2007-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164941340 | Dominique K Davis | Prosthetic/Orthotic Supplier | 700 Parker Ave Apt 9, Braddock, PA 15104 | 2017-09-19 |
| 1497270540 | Rc Jones Transportation, LLC | Private Vehicle | 134 Harriet Street, Rankin, PA 15104 | 2017-08-10 |
| 1841600400 | Anisa Tate | Counselor | 732 Braddock Ave, Braddock, PA 15104 | 2014-05-05 |
| 1972843050 | Jessica Lynn Gurley | Social Worker | 910 Braddock Ave, Braddock, PA 15104 | 2013-02-26 |
| 1588000152 | Anne Jennings | Family Medicine | 501 Braddock Ave, Braddock, PA 15104 | 2013-05-22 |
| 1124294582 | Michael Albert Bandola | Counselor | 5 East, Upmc Braddock Hospital, Braddock, PA 15104 | 2008-05-06 |
| 1255506549 | Leland Rose | Counselor | 400 Holland Ave, Braddock, PA 15104 | 2008-04-28 |
| 1932274768 | Primary Care Health Services Inc. | Clinic/Center | 300 Rankin Blvd, Rankin, PA 15104-1066 | 2006-11-20 |
| 1528125986 | Rankin Christian Center | Case Management | 230 3rd Ave, Rankin, PA 15104-1147 | 2007-01-03 |
| 1780964692 | Rankin Christian Center | Case Management | 230 3rd Ave, Rankin, PA 15104-1147 | 2011-08-23 |
| Find all providers in zip 15104 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538760087 | Rg Dental Group of Richboro, LLC | Dentist | 56 Newtown Richboro Rd., Suite 1, Richboro, PA 18954 | 2020-11-02 |
| 1790385581 | Samir Zahedpasha | Dentist | 1933 Delancey Pl, Philadelphia, PA 19103-6611 | 2020-10-29 |
| 1225636087 | Clark Dental Associates, LLC | Dentist | 7 Bala Ave Ste 301, Bala Cynwyd, PA 19004-3205 | 2020-10-14 |
| 1336747450 | Drexel Hill Smiles PC | Dentist | 4605 State Rd, Drexel Hill, PA 19026-4423 | 2020-10-12 |
| 1568074631 | Haley Ciccarelli | Dentist | 3475 W Chester Pike Ste 220, Newtown Square, PA 19073-4291 | 2020-08-20 |
| 1770195000 | Steven Dodson | Dentist | 7573 Woodbury Pike, Roaring Spring, PA 16673-1601 | 2020-08-18 |
| 1376154807 | Katherine Marie Stranieri | Dentist | 127 S Spring Garden St, Ambler, PA 19002-4726 | 2020-08-10 |
| 1407466162 | Christa A Musto | Dentist | 575 Pierce St Ste 201, Kingston, PA 18704-5700 | 2020-08-06 |
| 1669082632 | Nepa Dental Group, Inc | Dentist | 920 Wyoming Ave Ste 104, Forty Fort, PA 18704-3970 | 2020-08-05 |
| 1184234023 | Bucks County Dental Design, PC | Dentist | 95 Almshouse Rd Ste 201, Richboro, PA 18954-1155 | 2020-08-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on UPMC BRADDOCK DENTAL CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.