Provider Demographics
NPI:1346913126
Name:THE DENTISTS AT MERCY, INC
Entity Type:Organization
Organization Name:THE DENTISTS AT MERCY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:MANN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:412-732-7227
Mailing Address - Street 1:1350 LOCUST ST STE 407
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-4738
Mailing Address - Country:US
Mailing Address - Phone:412-732-7227
Mailing Address - Fax:412-732-7227
Practice Address - Street 1:1350 LOCUST ST STE 407
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-4738
Practice Address - Country:US
Practice Address - Phone:412-732-7227
Practice Address - Fax:412-732-7227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental