| Dattilo And Hall Llc | |
|
305 Mount Lebanon Blvd 305 Pittsburgh PA 15234-1511 | |
| (412) 563-7707 | |
| (412) 563-0970 |
| Full Name | Dattilo And Hall Llc |
|---|---|
| Speciality | Dentist |
| Location | 305 Mount Lebanon Blvd, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | David James Dattilo (ORAL MAXILLOFACIAL SURGEON) |
| Authorized Official Contact | 4125637707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dattilo And Hall Llc 305 Mount Lebanon Blvd Pittsburgh PA 15234-1511 Ph: (412) 563-7707 | Dattilo And Hall Llc 305 Mount Lebanon Blvd 305 Pittsburgh PA 15234-1511 Ph: (412) 563-7707 |
| NPI Number | 1710999339 |
|---|---|
| Provider Enumeration Date | 08/12/2006 |
| Last Update Date | 12/02/2009 |
| Medicare PECOS PAC ID | 7810989886 |
|---|---|
| Medicare Enrollment ID | O20040331000511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710999339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Joseph E. Cillo |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1932131091 PECOS PAC ID: 9436152543 Enrollment ID: I20060810000205 |
| Provider Name | Patrick S Dalton |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1952670580 PECOS PAC ID: 2264680511 Enrollment ID: I20130821000174 |
| Provider Name | Nicholaus E Barbosa |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1215375803 PECOS PAC ID: 7911295142 Enrollment ID: I20161004001146 |
| Provider Name | Scott H Godwin |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1851778997 PECOS PAC ID: 5597092395 Enrollment ID: I20200825000200 |
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