# DENTAL IMPLANT SPECIALISTS OF PENNSYLVANIA I, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Montour Oral Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922829332
- **Authorized official:** GEORGE TUNDER (PROVIDER PARTNER)
- **Authorized official phone:** (412) 788-9333

## Contact information

- **Practice address:** 4955 STEUBENVILLE PIKE STE 361, PITTSBURGH, PA 15205-9604
- **Practice address phone:** (412) 788-9333
- **Mailing address:** 3500 MAPLE AVE, DALLAS, TX 75219-3906

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | — | NULL | Yes |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/18/2024
- **Last updated:** 10/18/2024