Provider Demographics
NPI:1710133533
Name:TODD S RESEK DMD PC
Entity Type:Organization
Organization Name:TODD S RESEK DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:RESEK
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:412-828-3311
Mailing Address - Street 1:200 ALLEGHENY RIVER BLVD
Mailing Address - Street 2:
Mailing Address - City:OAKMONT
Mailing Address - State:PA
Mailing Address - Zip Code:15139-1800
Mailing Address - Country:US
Mailing Address - Phone:412-828-3311
Mailing Address - Fax:412-828-2515
Practice Address - Street 1:200 ALLEGHENY RIVER BLVD
Practice Address - Street 2:
Practice Address - City:OAKMONT
Practice Address - State:PA
Practice Address - Zip Code:15139-1800
Practice Address - Country:US
Practice Address - Phone:412-828-3311
Practice Address - Fax:412-828-2515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-12
Last Update Date:2019-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS029006L1223G0001X
PADS159311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty