# THREE RIVERS DENTAL GROUP/CRANBERRY LLC

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

## Provider details

- **NPI number:** 1134659816
- **Authorized official:** ANABIANCA RUDOLPH D.M.D. (OWNER)
- **Authorized official phone:** (412) 265-9888

## Contact information

- **Practice address:** 20300 ROUTE 19, UNIT 10, CRANBERRY TWP, PA 16066-6126
- **Practice address phone:** (412) 265-9888
- **Practice address fax:** (724) 591-8636
- **Mailing address:** 20300 ROUTE 19, UNIT 10, CRANBERRY TWP, PA 16066-6126
- **Mailing address phone:** (412) 265-9888
- **Mailing address fax:** (724) 591-8636

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS021586L | PA | Yes |

## Other

- **Enumeration date:** 06/15/2017
- **Last updated:** 05/01/2023