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Organization

UPMC CHILDREN'S HOSPITAL OF PITTSBURGH DENTAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICHOLAS BARCELLONA (CFO)
(412) 692-7331
Entity
Organization

Contact information

Practice address
4401 PENN AVE, PITTSBURGH, PA 15224
(412) 692-5440
Mailing address
PO BOX 382007, PITTSBURGH, PA 15251-8007
(412) 692-5440

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
291201
PA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
291201
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000149658
UCCI
PA
05
1007347990015
PA
Enumeration date
09/13/2007
Last updated
07/31/2018
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