Provider Demographics
NPI:1205495512
Name:LANZ PEDIATRIC DENTISTRY, LLC
Entity type:Organization
Organization Name:LANZ PEDIATRIC DENTISTRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:MOLLY
Authorized Official - Middle Name:E
Authorized Official - Last Name:LANZ
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:412-719-3338
Mailing Address - Street 1:129 ELM GROVE DR
Mailing Address - Street 2:
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-3205
Mailing Address - Country:US
Mailing Address - Phone:412-719-3338
Mailing Address - Fax:
Practice Address - Street 1:3402 WASHINGTON RD STE 205
Practice Address - Street 2:
Practice Address - City:MC MURRAY
Practice Address - State:PA
Practice Address - Zip Code:15317-2964
Practice Address - Country:US
Practice Address - Phone:724-941-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-10
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty