Provider Demographics
NPI:1629249198
Name:MARVIN A.DASH,DMD,INC.
Entity Type:Organization
Organization Name:MARVIN A.DASH,DMD,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:DASH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:412-765-1030
Mailing Address - Street 1:355 5TH AVE
Mailing Address - Street 2:PARK BLDG. SUITE1300
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222-2409
Mailing Address - Country:US
Mailing Address - Phone:412-765-1030
Mailing Address - Fax:412-765-2363
Practice Address - Street 1:355 5TH AVE
Practice Address - Street 2:PARK BLDG. SUITE1300
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-2409
Practice Address - Country:US
Practice Address - Phone:412-765-1030
Practice Address - Fax:412-765-2363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-12
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty