Provider Demographics
NPI:1639704513
Name:SOUTH HILLS DENTAL CARE COMPANY
Entity Type:Organization
Organization Name:SOUTH HILLS DENTAL CARE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:POLING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:412-882-1320
Mailing Address - Street 1:300 WEYMAN RD STE 260
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-1591
Mailing Address - Country:US
Mailing Address - Phone:412-882-1320
Mailing Address - Fax:
Practice Address - Street 1:300 WEYMAN RD STE 260
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-1591
Practice Address - Country:US
Practice Address - Phone:412-882-1320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-11
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty