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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
Street Address |
1580 MCLAUGHLIN RUN RD SUITE 204 |
City | PITTSBURGH |
State | PA |
Zip Code | 15241-3100 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 15241 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
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 |
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 |
Find all providers in PITTSBURGH |
City | PITTSBURGH |
Zip Code | 15241 |
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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.