| Northside Dental | |
|
814 Cedar Avenue Pittsburgh PA 15212 | |
| (412) 366-7788 | |
| Not Available |
| Full Name | Northside Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 814 Cedar Avenue, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Adam Mychak (OWNER) |
| Authorized Official Contact | 4123667788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northside Dental 814 Cedar Ave Pittsburgh PA 15212-4812 Ph: (412) 366-7788 | Northside Dental 814 Cedar Avenue Pittsburgh PA 15212 Ph: (412) 366-7788 |
| NPI Number | 1487155271 |
|---|---|
| Provider Enumeration Date | 02/27/2018 |
| Last Update Date | 02/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487155271 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS037298 (* (Not Available)) | Primary |
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