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BEAVER VALLEY DENTAL LLC NPI 1548449176


NPI Information

NPI: 1548449176
Provider Name: BEAVER VALLEY DENTAL, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
546 MERCHANT ST
AMBRIDGE, PA
ZIP 15003
Phone: (724) 266-2099
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BEAVER VALLEY DENTAL, LLC is a general practice dentist in Ambridge, PA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. BEAVER VALLEY DENTAL, LLC NPI is 1548449176. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

546 MERCHANT ST
AMBRIDGE, PA
ZIP 15003-463
Phone: (724) 266-2099
Fax: (724) 266-5388

The provider's authorized official is Tricia Ciarimboli .
The authorized official title is Regional Manager and has the following contact phone number (724) 266-2099.

The enumeration date for this NPI number is 10/31/2007 and was last updated on 10/31/2007.


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
11223G0001XDentistGeneral PracticeDS036432PENNSYLVANIANo
21223G0001XDentistGeneral PracticeDS030094LPENNSYLVANIAYes

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
11018235160001MEDICAIDPENNSYLVANIA
20017686540006MEDICAIDPENNSYLVANIA

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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