Provider Demographics
NPI:1851553234
Name:ASSOCIATED DENTAL BILLING SERVICES, INC
Entity Type:Organization
Organization Name:ASSOCIATED DENTAL BILLING SERVICES, INC
Other - Org Name:ALL ABOUT SMILES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNERS
Authorized Official - Prefix:
Authorized Official - First Name:JAIME AND LOUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSELLINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-431-6421
Mailing Address - Street 1:103 EVANS CITY RD
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-2601
Mailing Address - Country:US
Mailing Address - Phone:724-285-7202
Mailing Address - Fax:724-282-1392
Practice Address - Street 1:6660 PEACH ST
Practice Address - Street 2:SUITE C-12
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16509-7720
Practice Address - Country:US
Practice Address - Phone:814-866-8650
Practice Address - Fax:814-866-8656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-27
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1016502720001Medicaid