PITTSBURGH PERIODONTAL ASSOCIATES (NPI# 1497148357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497148357 |
| Entity Type | Organization |
| Organization Name | PITTSBURGH PERIODONTAL ASSOCIATES |
| Practice Address |
3520 5th Ave Ste 500 Pittsburgh PA 15213-3322 |
| Practice Telephone | 4126875311 |
| Practice Fax Number | 4126875122 |
| Mailing Telephone | 4126875311 |
| Mailing Fax Number | 4126875122 |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2015-03-16 |
| Authorized Official Name | DR. MENAKSHY KOUL (OWNER) |
| Authorized Official Telephone | 4126875311 |
| Authorized Official Credential | DDS,MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DS038945 | PA | Dental Providers |
| Street Address |
3520 5TH AVE STE 500 |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15213-3322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312951 | Bozena Agnieszka Brooks Larsen | Nurse Anesthetist, Certified Registered | Upmc Presbyterian, 200 Lothrop Street, Pittsburgh, PA 15213 | 2020-10-05 |
| 1255942272 | Jessica Ann Joy | Nurse Practitioner | 200 Lothrop Street Muh E804, Pittsburgh, PA 15213 | 2020-08-13 |
| 1487264750 | Cornelius Norval Holmes | Counselor | Iacp - Upmc Center for Care of Infectious Diseases, Falk Medical Building, 3601 Fifth Avenue, Suite 700, Pittsburgh, PA 15213 | 2020-08-03 |
| 1396354338 | Brittany Briana Bromfield | Student in an Organized Health Care Education/Training Program | 3459 5th Ave S Ste #9, Pittsburgh, PA 15213 | 2020-07-27 |
| 1003434309 | Dominika Dulak | Student in an Organized Health Care Education/Training Program | 200 Lothrup St. Upmc Montefiore Hospital, Suite N715, Pittsburgh, PA 15213 | 2020-07-13 |
| 1477176303 | Clark Stallings | Student in an Organized Health Care Education/Training Program | 240 University Drive C, Pittsburgh, PA 15213 | 2020-05-27 |
| 1063034007 | Yue Qiu | Student in an Organized Health Care Education/Training Program | 3471 Fifth Avenue Kaufmann Bldg 4th Flr, Suite 402, Pittsburgh, PA 15213 | 2020-05-13 |
| 1598387516 | Bushra Usmani | Student in an Organized Health Care Education/Training Program | 200 Lothrop St. Upmc Montefiore Hospital, Suite N715, Pittsburgh, PA 15213 | 2020-05-13 |
| 1306468335 | Krupa Patel | Student in an Organized Health Care Education/Training Program | 3471 Fifth Avenue Kaufmann Bldg 4th Flr-suite 402, Pittsburgh, PA 15213 | 2020-05-13 |
| 1548882798 | Stephen Henry Bayer | Student in an Organized Health Care Education/Training Program | 3471 5th Ave Upmc Department of Orthopedic Surgery, Kaufman Medical Building Suite 1010, Pittsburgh, PA 15213 | 2020-05-11 |
| Find all providers in zip 15213 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471913 | Martin L. Supowitz, Dmd, Msd, LLC | Dentist | 5433 Walnut St Ste 200, Pittsburgh, PA 15232-3215 | 2020-09-11 |
| 1679125835 | Amanda Marie Clemente | Dentist | 3501 Terrace St # B89, Pittsburgh, PA 15213-2523 | 2019-07-09 |
| 1316383607 | Alan M Timko | Dentist | 9401 Mcknight Rd Ste 301a, Pittsburgh, PA 15237-6000 | 2013-05-14 |
| 1285938555 | Dennis W Szymaitis | Dentist | 5 W Manilla Ave, Pittsburgh, PA 15220-3309 | 2010-12-31 |
| 1801116132 | Keila Gutierrez Dmd PC | Dentist | 3336 Maple Rd, Suite A, Pittsburgh, PA 15237-2429 | 2010-06-09 |
| 1013121862 | Charles Sfeir | Dentist | 2413 Traci Dr, Pittsburgh, PA 15237-1627 | 2007-05-10 |
| 1992896823 | Howard Ian Goldstein | Dentist | 5725 Forward Ave, Suite 200, Pittsburgh, PA 15217-2255 | 2006-09-27 |
| 1427061985 | James Alexander Diperna Jr. | Dentist | 563 Epsilon Dr, Suite 300, Pittsburgh, PA 15238-2816 | 2006-08-15 |
| 1184631004 | David H Schwimer | Dentist | 750 Washington Road Suite 3-4, Pittsburgh, PA 15228 | 2006-08-02 |
| 1992750491 | Martha Z. Grey | Dentist | 519 Brookline Blvd, Pittsburgh, PA 15226-2001 | 2006-05-23 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15213 |
Please comment or provide details below to improve the information on PITTSBURGH PERIODONTAL ASSOCIATES.
| 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.