Provider Demographics
NPI:1821553090
Name:PREMIER FAMILY DENTISTRY OF PITTSBURGH, PC
Entity Type:Organization
Organization Name:PREMIER FAMILY DENTISTRY OF PITTSBURGH, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MEGHAN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CAMPFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:412-682-7900
Mailing Address - Street 1:4815 LIBERTY AVE STE 106
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-2156
Mailing Address - Country:US
Mailing Address - Phone:412-682-7900
Mailing Address - Fax:412-682-7954
Practice Address - Street 1:5750 CENTRE AVE STE 170
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-3761
Practice Address - Country:US
Practice Address - Phone:412-682-7900
Practice Address - Fax:412-682-7954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-01
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental