Provider Demographics
NPI:1356004212
Name:FIVE STAR DENTISTRY
Entity Type:Organization
Organization Name:FIVE STAR DENTISTRY
Other - Org Name:FIVE STAR DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:S
Authorized Official - Last Name:ROSENTHAL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:412-381-3373
Mailing Address - Street 1:1930 E CARSON ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-2087
Mailing Address - Country:US
Mailing Address - Phone:412-381-3373
Mailing Address - Fax:412-381-2829
Practice Address - Street 1:1930 E CARSON ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-2087
Practice Address - Country:US
Practice Address - Phone:412-381-3373
Practice Address - Fax:412-381-2829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty