TARA MARIE FENN


Address: 1010 Delafield Rd, Pittsburgh, PA 15215-1802
Phone: 4128222222

TARA MARIE FENN (NPI# 1982195194) 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) 1982195194
Entity Type Individual
Full Name TARA MARIE FENN
Credential DMD
Practice Address 1010 Delafield Rd
Pittsburgh
PA 15215-1802
Mailing Address 128 N Craig St Apt 907
Pittsburgh
PA 15213-2741
Practice Telephone 4128222222
Mailing Telephone 8432273045
Enumeration Date 2018-05-23
Last Update Date 2018-12-02
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
DS041946 PA Dental Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
PA 1035592260001 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
147 Wilson Rd, Bentleyville, PA 153141027 7242393533

Office Location

Street Address 1010 DELAFIELD RD
City PITTSBURGH
State PA
Zip Code 15215-1802

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538146584 Christine Wackowski Rehabilitation Practitioner 1010 Delafield Rd, Building 50 130g-a, Pittsburgh, PA 15215-1802 2005-12-29
1306462262 Megan Funkhouser Social Worker 1010 Delafield Rd, Pittsburgh, PA 15215-1802 2020-06-17
1609492537 Anthony Michael Matteotti Dentist 1010 Delafield Rd, Pittsburgh, PA 15240-1005 2020-06-16
1477177442 Leah Downes Dietitian, Registered 1010 Delafield Rd, Pittsburgh, PA 15215-1802 2020-06-04
1518589464 Melanie Joyce Kukich Registered Nurse 1010 Delafield Rd, Pittsburgh, PA 15215-1802 2020-05-14
1356901755 Maria Jersey Social Worker 1010 Delafield Rd, Pittsburgh, PA 15215-1802 2019-06-18
1124687090 Beverly Anne Bowen Student in an Organized Health Care Education/Training Program 1010 Delafield Rd, Pittsburgh, PA 15215-1802 2019-06-13
1710546064 Haley Jo Brose Student in an Organized Health Care Education/Training Program 1010 Delafield Rd, Pittsburgh, PA 15215-1802 2019-06-11
1790340313 Christie Marie Hika Physical Therapist 1010 Delafield Rd, Pittsburgh, PA 15215-1802 2019-05-08
1467934588 Daniel Paul Greene Occupational Therapist 1010 Delafield Rd, Pittsburgh, PA 15215-1802 2018-09-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235739202 Layla Marie Franco Massage Therapist 411 Freeport Rd, Pittsburgh, PA 15215 2020-10-29
1699396978 Joseph Newark Legg II Student in an Organized Health Care Education/Training Program 1010 Delafield Road, Hj Heinz Dental 132d-a, Pittsburgh, PA 15215 2020-04-28
1174188817 Jonathan Michael Weiss Student in an Organized Health Care Education/Training Program Upmc St. Margaret Family Medicine Residency, 815 Freeport Road, Pittsburgh, PA 15215 2019-05-08
1720558356 Madayln Bond Kalmar Nurse Practitioner 420 E North Avenue, Suite 205, Pittsburgh, PA 15215 2018-11-27
1558774547 Enayetullah Neak Family Medicine 815 Freeport Rd., Pittsburgh, PA 15215 2014-06-06
1952730095 Kelli Bradley Physician Assistant 200 Medical Arts Bldg, 200 Delafield Rd, Suite 4010, Pittsburgh, PA 15215 2013-11-08
1659689958 Kelli Sarocky Physician Assistant 115 Center Ave, Pittsburgh, PA 15215 2010-09-21
1972731248 Paul M. Bernstein and Associates Counselor 103 Brilliant Avenue, 2nd Floor Suite C, Aspinwall, PA 15215 2009-06-25
1184861544 Adam Abdulally Family Medicine 7219 Mcknight Rd., Pittsburgh, PA 15215 2009-01-07
1629283072 John R Mellett Dentist 101 Emerson Avenue, Pittsburgh, PA 15215 2007-05-11
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477112340 Dental Professionals of Pennsylvania, P.C. Dentist 425 1st Ave Fl 3, Pittsburgh, PA 15219-1321 2019-06-13
1255990537 Michael Kaufman Dentist 1201 Broughton Rd # 200, Pittsburgh, PA 15236-3451 2019-06-10
1972160281 Cesar Augustin Dental Inc - IIi Dentist 5450 Campbells Run Rd, Pittsburgh, PA 15205-1026 2019-05-22
1417420175 Livewell Dentistry of Oakland Dentist 410 S Craig St Ste 102, Pittsburgh, PA 15213-3709 2019-01-05
1841778024 Pittsburgh Dental Partners, LLC Dentist 128 N Craig St Ste 207, Pittsburgh, PA 15213-2758 2018-07-31
1336636984 Leo T. Goode Dentist 833 Elm Spring Rd, Pittsburgh, PA 15243-1005 2018-04-19
1487155271 Northside Dental Dentist 814 Cedar Avenue, Pittsburgh, PA 15212 2018-02-27
1700304383 Maria Hays Dentist 112 Washington Pl Ste 1d, Pittsburgh, PA 15219-3461 2017-09-05
1073036760 Dental Professionals of Pennsylvania, P.C. Dentist 9401 Mcknight Rd Ste 307, Pittsburgh, PA 15237-6000 2017-07-25
1376065219 Xiaohan Fan Dentist 242 S Highland Ave # 201, Pittsburgh, PA 15206-3937 2017-07-12
Find all providers in PITTSBURGH

Competitor

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City PITTSBURGH
Zip Code 15215

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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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