Organization
OMNI DENTAL SHADYSIDE GPS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN HANLON (OWNER)
(412) 912-4556
Entity
Organization
Contact information
Practice address
5813 CENTRE AVE, PITTSBURGH, PA 15206-3709
(412) 912-4556
Mailing address
5813 CENTRE AVE, PITTSBURGH, PA 15206-3709
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/24/2025
Last updated
08/21/2025
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