Provider Demographics
NPI:1013280122
Name:ASSOCIATED DENTAL BILLING SERVICES
Entity Type:Organization
Organization Name:ASSOCIATED DENTAL BILLING SERVICES
Other - Org Name:ALL ABOUT SMILES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-256-5890
Mailing Address - Street 1:220 S MAIN ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-5987
Mailing Address - Country:US
Mailing Address - Phone:724-256-5890
Mailing Address - Fax:724-256-5893
Practice Address - Street 1:106 TRINITY POINT DR
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-2977
Practice Address - Country:US
Practice Address - Phone:724-222-3332
Practice Address - Fax:724-222-3337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-21
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1016502720001OtherPROMISE NUMBER