Provider Demographics
NPI:1154475465
Name:REBECCA L. POUNDS DDS.,LLC
Entity Type:Organization
Organization Name:REBECCA L. POUNDS DDS.,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:L
Authorized Official - Last Name:POUNDS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:412-261-2502
Mailing Address - Street 1:425 FIRST AVENUE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219
Mailing Address - Country:US
Mailing Address - Phone:412-261-2500
Mailing Address - Fax:412-261-6340
Practice Address - Street 1:425 1ST AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-1321
Practice Address - Country:US
Practice Address - Phone:412-261-2500
Practice Address - Fax:412-261-6340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0361571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty