Provider Demographics
NPI:1437261013
Name:MORAN, GREGORY JOSEPH (DMD)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:JOSEPH
Last Name:MORAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1010 DELAFIELD RD
Mailing Address - Street 2:VA PITTSBURGH HEALTHCARE SYSYEM - HEINZ DIVISION
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15240-1005
Mailing Address - Country:US
Mailing Address - Phone:412-784-3564
Mailing Address - Fax:412-784-3841
Practice Address - Street 1:1010 DELAFIELD RD
Practice Address - Street 2:VA PITTSBURGH HEALTHCARE SYSYEM - HEINZ DIVISION
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15240-1005
Practice Address - Country:US
Practice Address - Phone:412-784-3564
Practice Address - Fax:412-784-3841
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS017564L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice