Provider Demographics
NPI:1255897591
Name:JEFFREY J BORANDI DMD LLC
Entity type:Organization
Organization Name:JEFFREY J BORANDI DMD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ANESTHESIOLOGIST -OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:BORANDI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:412-725-1184
Mailing Address - Street 1:106 VILLAGE PL
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-5611
Mailing Address - Country:US
Mailing Address - Phone:412-725-1184
Mailing Address - Fax:
Practice Address - Street 1:10154 WOODBURY DR
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9580
Practice Address - Country:US
Practice Address - Phone:412-609-6979
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-12
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0004XDental ProvidersDentistDental AnesthesiologyGroup - Single Specialty