Provider Demographics
NPI:1841558269
Name:ASSOCIATED DENTAL SPECIALISTS
Entity Type:Organization
Organization Name:ASSOCIATED DENTAL SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:G
Authorized Official - Last Name:HISCHAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-741-7400
Mailing Address - Street 1:20399 ROUTE 19
Mailing Address - Street 2:ONE LANDMARK NORTH, SUITE 100
Mailing Address - City:CRANBERRY TOWNSHIP
Mailing Address - State:PA
Mailing Address - Zip Code:16066-6134
Mailing Address - Country:US
Mailing Address - Phone:724-741-7400
Mailing Address - Fax:
Practice Address - Street 1:20399 ROUTE 19
Practice Address - Street 2:ONE LANDMARK NORTH, SUITE 100
Practice Address - City:CRANBERRY TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:16066-6134
Practice Address - Country:US
Practice Address - Phone:724-741-7400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-24
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty