Provider Demographics
NPI:1568665453
Name:BEIRNE, VINCENT M (DDS)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:M
Last Name:BEIRNE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 GRANDVIEW DR N
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15215-1515
Mailing Address - Country:US
Mailing Address - Phone:412-772-1030
Mailing Address - Fax:
Practice Address - Street 1:355 5TH AVE
Practice Address - Street 2:700 PARK BUILDING
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-2409
Practice Address - Country:US
Practice Address - Phone:412-391-2085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS015030L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice