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CHETLIN PECHERSKY ORTHODONTICS NPI 1477946119


NPI Information

NPI: 1477946119
Provider Name: CHETLIN PECHERSKY ORTHODONTICS

Former Legal Business Name: CHETLIN ORTHODONTICS

Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
1900 MURRAY AVE
SUITE 305
PITTSBURGH, PA
ZIP 15217
Phone: (412) 421-5112
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CHETLIN PECHERSKY ORTHODONTICS is a point of service in Pittsburgh, PA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. CHETLIN PECHERSKY ORTHODONTICS NPI is 1477946119. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Chetlin Orthodontics.

The provider's business location address is:

1900 MURRAY AVE
SUITE 305
PITTSBURGH, PA
ZIP 15217-657
Phone: (412) 421-5112
Fax: (412) 421-5116

The provider's authorized official is Jeffrey D Chetlin .
The authorized official title is Owner and has the following contact phone number (412) 421-5112.

The enumeration date for this NPI number is 3/5/2015 and was last updated on 3/5/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305S00000XPoint of ServiceDS027521LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10014020100005OTHERPENNSYLVANIAMEDICAL ASSIST NUMBER
20014020200004OTHERPENNSYLVANIAMEDICAL ASSIST UPROMISE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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