Provider Demographics
NPI:1326377540
Name:TROY, BETH ANN (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:ANN
Last Name:TROY
Suffix:
Gender:F
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2414 LYTLE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BETHEL PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15102-2736
Mailing Address - Country:US
Mailing Address - Phone:412-831-2188
Mailing Address - Fax:412-831-6360
Practice Address - Street 1:2414 LYTLE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102-2736
Practice Address - Country:US
Practice Address - Phone:412-831-2188
Practice Address - Fax:412-831-6360
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-17
Last Update Date:2016-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0365051223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics