Provider Demographics
NPI:1578651881
Name:GARBERA, DENNIS (DMD)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:
Last Name:GARBERA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5116 W HARBISON RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-9772
Mailing Address - Country:US
Mailing Address - Phone:412-788-6868
Mailing Address - Fax:
Practice Address - Street 1:1850 KLEBER ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-1667
Practice Address - Country:US
Practice Address - Phone:412-766-2458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS021837L1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1223X0400XOtherOROTHODONTIST