| West Penn Dental Center Llc | |
|
312 Second Avenue Carnegie PA 15106-2509 | |
| (412) 279-7366 | |
| (412) 279-6668 |
| Full Name | West Penn Dental Center Llc |
|---|---|
| Speciality | Dentist |
| Location | 312 Second Avenue, Carnegie, Pennsylvania |
| Authorized Official Name and Position | Gregory Steines (DENTIST) |
| Authorized Official Contact | 4122797366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Penn Dental Center Llc 312 Second Avenue Carnegie PA 15106-2509 Ph: (412) 279-7366 | West Penn Dental Center Llc 312 Second Avenue Carnegie PA 15106-2509 Ph: (412) 279-7366 |
| NPI Number | 1912024159 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 02/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912024159 | NPI | - | NPPES |
| 1022464050001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS037893 (Pennsylvania) | Primary |
| 122300000X | Dentist | DS025773L (Pennsylvania) | Secondary |
| 122300000X | Dentist | DS021038L (Pennsylvania) | Secondary |
General Service And Supply Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2323 Greentree Rd, Carnegie, PA 15106 Phone: 412-279-4114 Fax: 412-279-6139 |