Provider Demographics
NPI:1376136325
Name:PERFECT SMILE DENTAL OF SWISSVALE PC
Entity Type:Organization
Organization Name:PERFECT SMILE DENTAL OF SWISSVALE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PENG
Authorized Official - Middle Name:
Authorized Official - Last Name:CHENG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:412-661-7316
Mailing Address - Street 1:715 N HIGHLAND AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-2563
Mailing Address - Country:US
Mailing Address - Phone:412-661-7316
Mailing Address - Fax:412-661-5903
Practice Address - Street 1:7417 IRVINE ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15218-2423
Practice Address - Country:US
Practice Address - Phone:412-351-0727
Practice Address - Fax:412-351-5148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-19
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty