# ALCOMA DENTAL ASSOCIATES

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

## Provider details

- **NPI number:** 1881764124
- **Authorized official:** DR. JAMES LOUIS PETRAITIS D.M.D. (PRESIDENT)
- **Authorized official phone:** (412) 795-5600

## Contact information

- **Practice address:** 5769 SALTSBURG RD, VERONA, PA 15147-3211
- **Practice address phone:** (412) 795-5600
- **Practice address fax:** (412) 795-1172
- **Mailing address:** 5769 SALTSBURG RD, VERONA, PA 15147-3211
- **Mailing address phone:** (412) 795-5600
- **Mailing address fax:** (412) 795-1172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DSO21328L | PA | Yes |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | DSO21328L | LICENSE NUMBER | PA |