Provider Demographics
NPI:1831107861
Name:PALADINO DACHILLE AND LAING ORAL AND MAXILLOFACIAL SURGERY ASSOC PC
Entity Type:Organization
Organization Name:PALADINO DACHILLE AND LAING ORAL AND MAXILLOFACIAL SURGERY ASSOC PC
Other - Org Name:STEEL CITY ORAL SURGERY
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:D
Authorized Official - Last Name:DACHILLE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:412-653-7400
Mailing Address - Street 1:PO BOX 18073
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236
Mailing Address - Country:US
Mailing Address - Phone:412-653-7400
Mailing Address - Fax:412-653-6827
Practice Address - Street 1:25 GILL HALL ROAD
Practice Address - Street 2:
Practice Address - City:JEFFERSON HILLS
Practice Address - State:PA
Practice Address - Zip Code:15025
Practice Address - Country:US
Practice Address - Phone:412-653-7400
Practice Address - Fax:412-653-6827
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA015934A1223S0112X
PA0271211223S0112X
1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty