Provider Demographics
NPI:1265923221
Name:ALLEGHENY DENTAL SLEEP
Entity type:Organization
Organization Name:ALLEGHENY DENTAL SLEEP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PAWLOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-867-5155
Mailing Address - Street 1:1301 GRANDVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15211-4203
Mailing Address - Country:US
Mailing Address - Phone:412-315-7934
Mailing Address - Fax:
Practice Address - Street 1:1301 GRANDVIEW AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15211-4203
Practice Address - Country:US
Practice Address - Phone:412-315-7934
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-25
Last Update Date:2018-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment