Organization
GRUENDEL EANS PC
Active
Other names
Drs. Gruendel, Eans & Young
Organization subpart
No
Provider details
NPI number
Authorized official
TINA FISHER (FRONT OFFICE/ INS. COORD)
(412) 621-0200
Entity
Organization
Contact information
Practice address
3506 5TH AVE, PITTSBURGH, PA 15213-3310
(412) 621-0200
(412) 621-9414
Mailing address
3506 5TH AVE, PITTSBURGH, PA 15213-3310
(412) 621-0200
(412) 621-9414
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS016567L
PA
1223P0700X
Prosthodontics
Primary
DS019246L
PA
1223P0700X
Prosthodontics
DS024036L
PA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS019246L
STATE DENTAL LICENSE
PA
01
—
DS024036L
STATE DENTAL LICENSE
PA
01
—
DS039211
STATE DENTAL LICENSE
PA
01
—
DS042054
STATE DENTAL LICENSE
PA
Enumeration date
08/19/2006
Last updated
04/05/2021
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