Provider Demographics
NPI:1114952959
Name:CHIANI, MARYAM A (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARYAM
Middle Name:A
Last Name:CHIANI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 WASHINGTON RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MOUNT LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:15228-2819
Mailing Address - Country:US
Mailing Address - Phone:412-341-0979
Mailing Address - Fax:412-341-0194
Practice Address - Street 1:520 WASHINGTON RD
Practice Address - Street 2:SUITE 100
Practice Address - City:MOUNT LEBANON
Practice Address - State:PA
Practice Address - Zip Code:15228-2819
Practice Address - Country:US
Practice Address - Phone:412-341-0979
Practice Address - Fax:412-341-0194
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2012-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS028155L1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics