Provider Demographics
NPI:1871819482
Name:LOUIS J. CORRADO
Entity Type:Organization
Organization Name:LOUIS J. CORRADO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:CORRADO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:412-440-0344
Mailing Address - Street 1:1910 COCHRAN RD
Mailing Address - Street 2:SUITE 910
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-1203
Mailing Address - Country:US
Mailing Address - Phone:412-440-0344
Mailing Address - Fax:412-440-0342
Practice Address - Street 1:1910 COCHRAN RD
Practice Address - Street 2:SUITE 910
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-1203
Practice Address - Country:US
Practice Address - Phone:412-440-0344
Practice Address - Fax:412-440-0342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-08
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA024045122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty