# PA DENTIST PARTNERS, PC

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

## Provider details

- **NPI number:** 1104708940
- **Authorized official:** PAMELA BUSCEMI (VICE PRESIDENT)
- **Authorized official phone:** (586) 557-2748

## Contact information

- **Practice address:** 1658 ROUTE 228 STE 300, CRANBERRY TOWNSHIP, PA 16066-5342
- **Practice address phone:** (513) 367-2999
- **Mailing address:** 111 E WACKER DR STE 2205, CHICAGO, IL 60601-4600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 07/23/2025
- **Last updated:** 07/23/2025