Provider Demographics
NPI:1457488652
Name:DRS L P RUDOLPH & J E TIANO PC
Entity Type:Organization
Organization Name:DRS L P RUDOLPH & J E TIANO PC
Other - Org Name:THE DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:LANGELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-466-9466
Mailing Address - Street 1:4945 HOMEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:WEST MIFFLIN
Mailing Address - State:PA
Mailing Address - Zip Code:15122-2956
Mailing Address - Country:US
Mailing Address - Phone:412-466-9466
Mailing Address - Fax:
Practice Address - Street 1:4945 HOMEVILLE RD
Practice Address - Street 2:
Practice Address - City:WEST MIFFLIN
Practice Address - State:PA
Practice Address - Zip Code:15122-2956
Practice Address - Country:US
Practice Address - Phone:412-466-9466
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty