Organization
DENTAL PROFESSIONALS OF PENNSYLVANIA, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF PENNSYLVANIA, P.C.
Other names
Certus Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF PENNSYLVANIA, P.C.
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
8035 MCKNIGHT RD STE 201, PITTSBURGH, PA 15237-3036
(412) 364-5050
Mailing address
8035 MCKNIGHT RD STE 201, PITTSBURGH, PA 15237-3036
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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