Provider Demographics
NPI:1972861391
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:412-856-9300
Mailing Address - Street 1:4328 NORTHERN PIKE
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2825
Mailing Address - Country:US
Mailing Address - Phone:412-856-9300
Mailing Address - Fax:
Practice Address - Street 1:4328 NORTHERN PIKE
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2825
Practice Address - Country:US
Practice Address - Phone:412-856-9300
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