| Omni Dental Shadyside Llc | |
|
202 S Highland Ave Pittsburgh PA 15206-3913 | |
| (412) 362-5556 | |
| (724) 909-1670 |
| Full Name | Omni Dental Shadyside Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 202 S Highland Ave, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Justin Hanlon (OWNER) |
| Authorized Official Contact | 4123625556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Omni Dental Shadyside Llc 3035 Washington Rd Ste 3 Mc Murray PA 15317-3281 Ph: (412) 362-5556 | Omni Dental Shadyside Llc 202 S Highland Ave Pittsburgh PA 15206-3913 Ph: (412) 362-5556 |
| NPI Number | 1023602265 |
|---|---|
| Provider Enumeration Date | 03/01/2021 |
| Last Update Date | 03/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023602265 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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