Provider Demographics
NPI:1851729123
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:412-722-1991
Mailing Address - Street 1:6201 STEUBENVILLE PIKE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:MC KEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136-1344
Mailing Address - Country:US
Mailing Address - Phone:412-722-1991
Mailing Address - Fax:
Practice Address - Street 1:6201 STEUBENVILLE PIKE
Practice Address - Street 2:SUITE 110
Practice Address - City:MC KEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136-1344
Practice Address - Country:US
Practice Address - Phone:412-722-1991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-24
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty