# ACTDENTAL,INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ACTDental,inc, act dental, inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366115131
- **Authorized official:** DR. ANNETTE THEOFILOS DMD (PRESIDENT OF CORPORATION)
- **Authorized official phone:** (724) 346-5173

## Contact information

- **Practice address:** 2213 SHENANGO VALLEY FWY, HERMITAGE, PA 16148-2544
- **Practice address phone:** (724) 346-5173
- **Practice address fax:** (724) 983-9064
- **Mailing address:** 2213 SHENANGO VALLEY FWY, HERMITAGE, PA 16148-2544
- **Mailing address phone:** (172) 434-6517

## Taxonomy

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

## Other

- **Enumeration date:** 07/28/2021
- **Last updated:** 07/28/2021