DR. SPENCER DYLAN REGELSON DDS NPI 1821688128

NPI Information

NPI: 1821688128
Provider Name: DR. SPENCER DYLAN REGELSON, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
3501 TERRACE STREET
G-32 SALK HALL
PITTSBURGH, PA
ZIP 15261
Phone: (412) 648-8604
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DR. Spencer Dylan Regelson, DDS is a general practice dentist in Pittsburgh, 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. DR. Spencer Dylan Regelson, DDS NPI is 1821688128. 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:

3501 TERRACE STREET
G-32 SALK HALL
PITTSBURGH, PA
ZIP 15261
Phone: (412) 648-8604

The NPI 1821688128 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 1/20/2021 and was last updated on 7/18/2022.

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
1	122300000X	Dentist		019033092	ILLINOIS	No
2	122300000X	Dentist		DS043556	PENNSYLVANIA	No
3	1223G0001X	Dentist	General Practice	DS043556	PENNSYLVANIA	Yes

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
1	DS043556	OTHER	PENNSYLVANIA	PENNSYLVANIA DENTAL LICENSE
2	019033092	OTHER	ILLINOIS	ILLINOIS LICENSE
3	319022454	OTHER	ILLINOIS	ILLINOIS CONTROLLED SUBSTANCE LICENSE

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

NPI Synchronization or Removal

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