Organization
UPMC PRESBYTERIAN SHADYSIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHERINE TERESA SMITH (ADMINISTRATIVE COORDINATOR)
(412) 648-6080
Entity
Organization
Contact information
Practice address
3459 5TH AVE, SUITE 202 SOUTH, PITTSBURGH, PA 15213-3236
(412) 648-6080
(412) 648-6798
Mailing address
3459 5TH AVE, SUITE 202 SOUTH, PITTSBURGH, PA 15213-3236
(412) 648-6080
(412) 648-6798
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
DS027010L
PA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS029690L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000019040145
—
PA
Enumeration date
10/20/2006
Last updated
09/11/2025
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