PEDIATRIC DENTISTRY SOUTH


Address: 1580 Mclaughlin Run Rd, Suite 204, Pittsburgh, PA 15241-3100
Phone: 4122571150

PEDIATRIC DENTISTRY SOUTH (NPI# 1750622106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750622106
Entity Type Organization
Organization Name PEDIATRIC DENTISTRY SOUTH
Practice Address 1580 Mclaughlin Run Rd
Suite 204
Pittsburgh
PA 15241-3100
Mailing Address 1580 Mclaughlin Run Rd
Suite 204
Pittsburgh
PA 15241
Practice Telephone 4122571150
Practice Fax Number 4122573758
Mailing Telephone 4122571150
Mailing Fax Number 4122573758
Enumeration Date 2013-03-11
Last Update Date 2013-03-11
Authorized Official Name MRS. SARA SECRIST (OFFICE MANAGER)
Authorized Official Telephone 4122571150
Authorized Official Credential RDH
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
Dental Providers

Office Location

Street Address 1580 MCLAUGHLIN RUN RD
SUITE 204
City PITTSBURGH
State PA
Zip Code 15241-3100

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568461952 Debra M Faber Pediatrics 1580 Mclaughlin Run Rd, Pine Bridge Commons, Suite 208, Pittsburgh, PA 15241-3100 2005-07-18
1386094696 Gail Kim Dentist 1580 Mclaughlin Run Rd, Pittsburgh, PA 15241-3100 2016-06-16
1538527486 Felicia Finnegan Physician Assistant 1580 Mclaughlin Run Rd, Pittsburgh, PA 15241-3100 2016-02-07
1437591385 Courtney Paige Uselton Dentist 1580 Mclaughlin Run Rd, Pittsburgh, PA 15241-3100 2013-07-20
1780968958 Priyanka Vaddi Dentist 1580 Mclaughlin Run Rd, Pittsburgh, PA 15241-3100 2011-10-05
1013220094 Pediatric Alliance, St. Clair Division Pediatrics 1580 Mclaughlin Run Rd, Suite 208, Pittsburgh, PA 15241-3100 2010-07-20
1619193604 Western Pennsylvania Dental Alliance Dentist 1580 Mclaughlin Run Rd, Suite 204, Pittsburgh, PA 15241-3100 2007-04-18
1043365018 Timothy Kerr,dmd Romana P. Kerr, Dmd Dentist 1580 Mclaughlin Run Rd, Pittsburgh, PA 15241-3100 2007-01-23
1164589453 Romana A Pautler Dentist 1580 Mclaughlin Run Rd, Pittsburgh, PA 15241-3100 2007-01-03
1447313838 Richard C. Ruffalo Dentist 1580 Mclaughlin Run Rd, Pittsburgh, PA 15241-3100 2006-12-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013526649 Lea Jean Grondziowski Pharmacist 1580 Mclaughlin Run Rd Ste 212, Suite 212, Pittsburgh, PA 15241 2020-07-29
1689185522 Luxottica of America Inc Eyewear Supplier (Equipment, not the service) 100 S Hills Village, Pittsburgh, PA 15241 2017-10-18
1578072450 Joann Mary Seigel Pharmacist 410 Carmell Drive, Pittsburgh, PA 15241 2017-09-24
1477973899 Rebecca E Bollinger Pharmacist 201 S Hills Vlg Dr, Pittsburgh, PA 15241 2014-04-24
1457780629 Christina M Bordick Physician Assistant 110 Fort Couch Rd Ste 203, Pittsburgh, PA 15241 2013-11-07
1427315464 Township of Upper St. Clair Dietitian, Registered 1551 Mayview Rd., Pittsburgh, PA 15241 2012-04-16
1568764033 Embrace The Child, Ltd. Speech-Language Pathologist 121 Brookside Blvd, Pittsburgh, PA 15241 2010-12-03
1013218239 Erin L Heirendt Counselor 2585 Washington Rd., Bld 100 Suite 132, Upper St. Clair, PA 15241 2010-11-04
1790927440 Mary Anne Gloninger Christ Psychologist 1700 N Highland Ave, Suite 103, Pittsburgh, PA 15241 2009-03-26
1629228325 Lynne Logan Marriage & Family Therapist 1725 Wahington Road, #509, Pittsburgh, PA 15241 2008-09-30
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649708066 James Joseph Rosen Jr. Dentist 680 Washington Rd Ste 101, Pittsburgh, PA 15228-1950 2017-05-30
1831623230 Sara Safdari-sadaloo Dentist 3955 Bigelow Blvd Apt 206, Pittsburgh, PA 15213-1232 2017-04-12
1760741631 Pechersky Valasek LLC Dentist 2345 Murray Ave Ste 220, Pittsburgh, PA 15217-2361 2012-05-11
1558415430 Gurtner &gurtner Dentist 429 Cochran Rd, Pittsburgh, PA 15228-1211 2007-01-22
1174567499 Alene Marie D'alesio Dentist 45th and Penn Avenue, 3rd Floor Main Hospital, Pittsburgh, PA 15201 2006-06-16
1356384903 Robert J Smith Dentist 9200 Perry Hwy, Pittsburgh, PA 15237-5444 2006-06-13
1518504133 James J Rosen Dds Dentist 680 Washington Rd Ste 101, Pittsburgh, PA 15228-1950 2019-12-02
1275019903 Allison Christine Gerlach Dentist 3501 Terrace Street, Pittsburgh, PA 15261 2018-07-16
1669850939 Brian Lam Dentist 4401 Penn Ave, Floor 3, Pittsburgh, PA 15224-1334 2015-05-07
1891187753 Premier Family Dentistry of Pa LLC Dentist 5208 Clairton Blvd, Suite 2, Pittsburgh, PA 15236-2711 2015-03-02
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Competitor

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City PITTSBURGH
Zip Code 15241

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Dataset Information

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.

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