Provider Demographics
NPI:1073684155
Name:ASSOCIATED DENTAL BILLING SERVICES
Entity Type:Organization
Organization Name:ASSOCIATED DENTAL BILLING SERVICES
Other - Org Name:ALL ABOUT SMILES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-337-9411
Mailing Address - Street 1:8050 ROWAN RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CRANBERRY TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-3624
Mailing Address - Country:US
Mailing Address - Phone:724-778-8900
Mailing Address - Fax:239-337-1400
Practice Address - Street 1:8050 ROWAN RD
Practice Address - Street 2:SUITE 100
Practice Address - City:CRANBERRY TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:16066-3624
Practice Address - Country:US
Practice Address - Phone:724-778-8900
Practice Address - Fax:724-282-1392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-12
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1016502720001OtherPROMISE NUMBER