# WEST PENN DENTAL CENTER LLC

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

## Provider details

- **NPI number:** 1912024159
- **Authorized official:** DR. GREGORY STEINES DMD (DENTIST)
- **Authorized official phone:** (412) 279-7366

## Contact information

- **Practice address:** 312 SECOND AVENUE, CARNEGIE, PA 15106-2509
- **Practice address phone:** (412) 279-7366
- **Practice address fax:** (412) 279-6668
- **Mailing address:** 312 SECOND AVENUE, CARNEGIE, PA 15106-2509
- **Mailing address phone:** (412) 279-7366
- **Mailing address fax:** (412) 279-6668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS021038L | PA | — |
| 122300000X | Dentist | DS025773L | PA | — |
| 122300000X | Dentist | DS037893 | PA | Yes |

## Other

- **Enumeration date:** 03/23/2007
- **Last updated:** 02/02/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1022464050001 | — | PA |