# UPMC PRESBYTERIAN SHADYSIDE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Braddock Dental Center of UPMC Presbyterian Shadyside
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477883429
- **Authorized official:** MR. PAUL CASTILLO (CFO)
- **Authorized official phone:** (412) 647-7713

## Contact information

- **Practice address:** 818 BRADDOCK AVE, BRADDOCK, PA 15104-1715
- **Practice address phone:** (412) 636-5187
- **Practice address fax:** (412) 636-5248
- **Mailing address:** 818 BRADDOCK AVE, BRADDOCK, PA 15104-1715
- **Mailing address phone:** (412) 636-5187
- **Mailing address fax:** (412) 636-5248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DS027386L | PA | — |
| 261QD0000X | Dental Clinic/Center | DS030969L | PA | — |
| 261QD0000X | Dental Clinic/Center | DS037519 | PA | Yes |

## Other

- **Enumeration date:** 01/13/2010
- **Last updated:** 01/13/2010