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UPMC PRESBYTERIAN SHADYSIDE NPI 1043392855


NPI Information

NPI: 1043392855
Provider Name: UPMC PRESBYTERIAN SHADYSIDE
Classification: Dentist - 1223P0700X
Entity Type: Organization

Specialization: Prosthodontics

Address:
3459 5TH AVE
SUITE 202 SOUTH
PITTSBURGH, PA
ZIP 15213
Phone: (412) 648-6080
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UPMC PRESBYTERIAN SHADYSIDE is a prosthodontics dentist in Pittsburgh, PA. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. UPMC PRESBYTERIAN SHADYSIDE NPI is 1043392855. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3459 5TH AVE
SUITE 202 SOUTH
PITTSBURGH, PA
ZIP 15213-236
Phone: (412) 648-6080
Fax: (412) 648-6798

The provider's authorized official is Catherine Teresa Smith .
The authorized official title is Administrative Coordinator and has the following contact phone number (412) 648-6080.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 8/22/2020.


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
11223P0700XDentistProsthodonticsDS027010LPENNSYLVANIAYes
21223S0112XDentistOral and Maxillofacial SurgeryDS029690LPENNSYLVANIAX

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
11000019040145MEDICAIDPENNSYLVANIA

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: 4/28/2024

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