Provider Demographics
NPI:1093193930
Name:THE DENTISTS AT HARTWOOD, P.C.
Entity Type:Organization
Organization Name:THE DENTISTS AT HARTWOOD, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BOBBIE
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:HAWRANKO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:412-767-4403
Mailing Address - Street 1:3392 SAXONBURG BLVD
Mailing Address - Street 2:BUILDING B, SUITE 440
Mailing Address - City:GLENSHAW
Mailing Address - State:PA
Mailing Address - Zip Code:15116-3145
Mailing Address - Country:US
Mailing Address - Phone:412-767-4403
Mailing Address - Fax:412-767-4464
Practice Address - Street 1:3392 SAXONBURG BLVD
Practice Address - Street 2:BUILDING B, SUITE 440
Practice Address - City:GLENSHAW
Practice Address - State:PA
Practice Address - Zip Code:15116-3145
Practice Address - Country:US
Practice Address - Phone:412-767-4403
Practice Address - Fax:412-767-4464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-12
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty