Provider Demographics
NPI:1891204749
Name:STEEL CITY DENTAL OF THE BURGH LLC
Entity Type:Organization
Organization Name:STEEL CITY DENTAL OF THE BURGH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:ZACH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHURCHFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-371-1300
Mailing Address - Street 1:10493 FRANKSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-2917
Mailing Address - Country:US
Mailing Address - Phone:412-371-1300
Mailing Address - Fax:412-371-1301
Practice Address - Street 1:10493 FRANKSTOWN RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-2917
Practice Address - Country:US
Practice Address - Phone:412-371-1300
Practice Address - Fax:412-371-1301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty
No124Q00000XDental ProvidersDental HygienistGroup - Multi-Specialty