# NOVA DENTAL EAST SUBURBAN

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

## Provider details

- **NPI number:** 1700869682
- **Authorized official:** DR. BARRETT M BENDER DMD (DENTIST OWNER)
- **Authorized official phone:** (412) 824-8830

## Contact information

- **Practice address:** 215 FOREST HILLS PLAZA, PITTSBURGH, PA 15221
- **Practice address phone:** (412) 824-8830
- **Practice address fax:** (412) 824-0493
- **Mailing address:** 215 FOREST HILLS PLAZA, PITTSBURGH, PA 15221
- **Mailing address phone:** (412) 824-8830
- **Mailing address fax:** (412) 824-0493

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS019606L | PA | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS025542L | PA | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS026612L | PA | — |

## Other

- **Enumeration date:** 11/23/2005
- **Last updated:** 09/11/2025
