Provider Demographics
NPI:1366864084
Name:JOHN W. HART DDS PC
Entity Type:Organization
Organization Name:JOHN W. HART DDS PC
Other - Org Name:EXCEPTIONAL SMILES
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:W
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, PC
Authorized Official - Phone:412-681-8011
Mailing Address - Street 1:200 N CRAIG ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-1508
Mailing Address - Country:US
Mailing Address - Phone:412-681-8011
Mailing Address - Fax:412-681-9614
Practice Address - Street 1:200 N CRAIG ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-1508
Practice Address - Country:US
Practice Address - Phone:412-681-8011
Practice Address - Fax:412-681-9614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-15
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS026960L332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment