Individual
DR. EDMUND DENORDE EFFORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
320 FORT DUQUESNE BLVD, SUITE 215 GATEWAY TOWERS, PITTSBURGH, PA 15222-1121
(412) 765-0199
(412) 765-2299
Mailing address
320 FORT DUQUESNE BLVD, SUITE 215 GATEWAY TOWERS, PITTSBURGH, PA 15222-1121
(412) 765-0199
(412) 765-2299
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS020216L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00812927
—
PA
01
—
413285
BLUE CROSS/BLUE SHIELD ID
PA
01
—
DS 020216L
STATE DENTAL LICENSE
PA
Enumeration date
12/08/2005
Last updated
03/07/2023
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