Organization
UPMC CHILDREN'S HOSPITAL OF PITTSBURGH DENTAL PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS EDWARD SCOTT (MANAGER)
(412) 692-6805
Entity
Organization
Contact information
Practice address
3705 5TH AVE, GROUND FLOOR, PITTSBURGH, PA 15213
(412) 692-5440
(412) 692-7946
Mailing address
PO BOX 382007, PITTSBURGH, PA 15251-8007
(412) 692-5440
(412) 692-7946
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DS031029L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000149658
UNITED CONCORDIA
PA
05
—
1007347990015
—
PA
Enumeration date
07/01/2006
Last updated
07/31/2018
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