Individual
EDWARD S CHEPPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., P.C
Contact information
Practice address
714 SOUTH AVE, WILKINSBURG, PA 15221-2940
(412) 242-1285
(412) 247-5905
Mailing address
714 SOUTH AVE, WILKINSBURG, PA 15221-2940
(412) 242-1285
(412) 247-5905
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS021835L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000693343-0001
—
PA
01
—
005354
DORAL UPMC 4 U
PA
01
—
112054
AETNA DMO
PA
01
—
159907
UNITED CONCORDIA PROVIDER
PA
01
—
179237
UNISON
PA
01
—
2341
DOMINION PROVIDER NUMBER
PA
01
—
24595-1
GATEWAY
PA
01
—
4005155-000
UNYSIS
WV
Enumeration date
10/25/2005
Last updated
07/09/2007
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