| Specialty Periodontal Care Associates Llc | |
|
4924 Lindermer Avenue Bethel Park PA 15102 | |
| (412) 833-6377 | |
| (412) 833-6496 |
| Full Name | Specialty Periodontal Care Associates Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 4924 Lindermer Avenue, Bethel Park, Pennsylvania |
| Authorized Official Name and Position | Robert J Locastro (OWNER) |
| Authorized Official Contact | 7242285800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialty Periodontal Care Associates Llc 4924 Lindermer Avenue Bethel Park PA 15102 Ph: (412) 833-6377 | Specialty Periodontal Care Associates Llc 4924 Lindermer Avenue Bethel Park PA 15102 Ph: (412) 833-6377 |
| NPI Number | 1255434395 |
|---|---|
| Provider Enumeration Date | 09/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255434395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | DS027670L (Pennsylvania) | Primary |
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