MOUTAZ DANDASHI DMD NPI 1588625289

NPI Information

  • NPI: 1588625289
  • Provider Name: MOUTAZ DANDASHI, DMD
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Individual
  • Address: 1597 WASHINGTON PIKE STE A5
    BRIDGEVILLE, PA
    ZIP 15017
  • Phone: (412) 279-4800

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NPI Details

Moutaz Dandashi, DMD is a pediatric dentistry dentist in Bridgeville, PA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. Moutaz Dandashi, DMD NPI is 1588625289. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1597 WASHINGTON PIKE STE A5
BRIDGEVILLE, PA
ZIP 15017-881
Phone: (412) 279-4800
Fax: (412) 279-7119

The enumeration date for this NPI number is 3/31/2006 and was last updated on 12/6/2013.

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
11223P0221XDentistPediatric DentistryDS029415PENNSYLVANIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10015280950011MEDICAIDPENNSYLVANIA
20015280950016MEDICAIDPENNSYLVANIA
30015280950020MEDICAIDPENNSYLVANIA
40015280950022MEDICAIDPENNSYLVANIA
5076818900MEDICAIDFLORIDA
60015280950021MEDICAIDPENNSYLVANIA
70015280950024MEDICAIDPENNSYLVANIA
80015280950010MEDICAIDPENNSYLVANIA
90015280950023MEDICAIDPENNSYLVANIA

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: 11/21/2025

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