| Puredent, Inc. | |
|
580 S. Aiken Avenue Suite 621 Pittsburgh PA 15232 | |
| (412) 631-8947 | |
| (412) 621-0624 |
| Full Name | Puredent, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 580 S. Aiken Avenue, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Tammy Degregorio (OWNER) |
| Authorized Official Contact | 4126318947 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Puredent, Inc. 580 S. Aiken Avenue Suite 620 Pittsburgh PA 15232 Ph: (412) 631-8947 | Puredent, Inc. 580 S. Aiken Avenue Suite 621 Pittsburgh PA 15232 Ph: (412) 631-8947 |
| NPI Number | 1245506039 |
|---|---|
| Provider Enumeration Date | 03/27/2012 |
| Last Update Date | 03/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245506039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS027253L (Pennsylvania) | Primary |
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