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PREMIERE ANESTHESIA FOR DENTISTRY NPI 1285047431


NPI Information

NPI: 1285047431
Provider Name: PREMIERE ANESTHESIA FOR DENTISTRY
Classification: Dentist - 1223D0004X
Entity Type: Organization

Specialization: Dentist Anesthesiologist

Address:
106 VILLAGE PL
WEXFORD, PA
ZIP 15090
Phone: (724) 759-7948
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PREMIERE ANESTHESIA FOR DENTISTRY is a dentist anesthesiologist dentist in Wexford, PA. The provider is a dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. PREMIERE ANESTHESIA FOR DENTISTRY NPI is 1285047431. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

106 VILLAGE PL
WEXFORD, PA
ZIP 15090-611
Phone: (724) 759-7948
Fax: (724) 759-7952

The provider's authorized official is Valerie Grant .
The authorized official title is Office Manager and has the following contact phone number (724) 759-7948.

The enumeration date for this NPI number is 6/5/2014 and was last updated on 6/5/2014.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223D0004XDentistDentist AnesthesiologistDS035406PENNSYLVANIANo
21223D0004XDentistDentist AnesthesiologistDS031543LPENNSYLVANIANo
31223D0004XDentistDentist AnesthesiologistDS029696LPENNSYLVANIANo
41223D0004XDentistDentist AnesthesiologistDP000682PENNSYLVANIANo
51223D0004XDentistDentist AnesthesiologistDA031643PENNSYLVANIANo
61223D0004XDentistDentist AnesthesiologistDS036141PENNSYLVANIAYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.