Provider Demographics
NPI:1013952712
Name:SULZER, ALBERT FRANK JR (DDS)
Entity type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:FRANK
Last Name:SULZER
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 NOBLE AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-2812
Mailing Address - Country:US
Mailing Address - Phone:412-921-4949
Mailing Address - Fax:412-921-4949
Practice Address - Street 1:100 NOBLE AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15205-2812
Practice Address - Country:US
Practice Address - Phone:412-921-4949
Practice Address - Fax:412-921-4949
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS019746L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
57971000000003845OtherDENTAL BENEFIT PROVIDERS
PA0010009630001Medicaid
049551OtherPA BLUE SHIELD
049551OtherUNITED CONCORDIA