Provider Demographics
NPI:1477096212
Name:DENTAL & DENTURES PITTSBURGH INC
Entity Type:Organization
Organization Name:DENTAL & DENTURES PITTSBURGH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:J
Authorized Official - Last Name:CLOSINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-376-6328
Mailing Address - Street 1:8700 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:N HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:15642-2762
Mailing Address - Country:US
Mailing Address - Phone:724-864-0070
Mailing Address - Fax:724-864-8520
Practice Address - Street 1:8700 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:N HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:15642-2762
Practice Address - Country:US
Practice Address - Phone:724-864-0070
Practice Address - Fax:724-864-8520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-28
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty