Provider Demographics
NPI:1376094672
Name:TROUPE DENTAL LL
Entity Type:Organization
Organization Name:TROUPE DENTAL LL
Other - Org Name:POLISHED DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:TROUPE
Authorized Official - Suffix:IV
Authorized Official - Credentials:DMD
Authorized Official - Phone:814-952-1026
Mailing Address - Street 1:1809 JANCEY ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-1065
Mailing Address - Country:US
Mailing Address - Phone:412-362-5677
Mailing Address - Fax:
Practice Address - Street 1:355 5TH AVE
Practice Address - Street 2:SUITE 1500
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-2409
Practice Address - Country:US
Practice Address - Phone:412-281-3546
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-21
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0387931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty