Provider Demographics
NPI:1427414515
Name:JOHN E. TIANO D.D.S. P.C.
Entity Type:Organization
Organization Name:JOHN E. TIANO D.D.S. P.C.
Other - Org Name:THE DENTISTRY OF PLEASANT HILLS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:C.O.O
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:A
Authorized Official - Last Name:SHRUM
Authorized Official - Suffix:
Authorized Official - Credentials:RDH
Authorized Official - Phone:724-771-4513
Mailing Address - Street 1:841 CLAIRTON BLVD
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15236-4518
Mailing Address - Country:US
Mailing Address - Phone:412-655-9600
Mailing Address - Fax:412-460-1480
Practice Address - Street 1:841 CLAIRTON BLVD
Practice Address - Street 2:
Practice Address - City:PLEASANT HILLS
Practice Address - State:PA
Practice Address - Zip Code:15236-4518
Practice Address - Country:US
Practice Address - Phone:412-655-9600
Practice Address - Fax:412-460-1480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-06
Last Update Date:2016-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS021558L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty