# UPMC PRESBYTERIAN SHADYSIDE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043392855
- **Authorized official:** MRS. CATHERINE TERESA SMITH (ADMINISTRATIVE COORDINATOR)
- **Authorized official phone:** (412) 648-6080

## Contact information

- **Practice address:** 3459 5TH AVE, SUITE 202 SOUTH, PITTSBURGH, PA 15213-3236
- **Practice address phone:** (412) 648-6080
- **Practice address fax:** (412) 648-6798
- **Mailing address:** 3459 5TH AVE, SUITE 202 SOUTH, PITTSBURGH, PA 15213-3236
- **Mailing address phone:** (412) 648-6080
- **Mailing address fax:** (412) 648-6798

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0700X | Prosthodontics | DS027010L | PA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS029690L | PA | Yes |

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 09/11/2025