Organization
CHETLIN PECHERSKY ORTHODONTICS
Active
Other names
Chetlin Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY D CHETLIN DDS (OWNER)
(412) 421-5112
Entity
Organization
Contact information
Practice address
1900 MURRAY AVE, SUITE 305, PITTSBURGH, PA 15217-1657
(412) 421-5112
(412) 421-5116
Mailing address
1900 MURRAY AVENUE, SUITE 305, PITTSBURGH, PA 15217
(412) 421-5112
(412) 421-5116
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
DS027521L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0014020100005
MEDICAL ASSIST NUMBER
PA
01
—
0014020200004
MEDICAL ASSIST UPROMISE NUMBER
PA
Enumeration date
03/05/2015
Last updated
03/05/2015
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