Provider Demographics
NPI:1457967770
Name:PEARL DENTISTRY OF BUTLER PLLC
Entity Type:Organization
Organization Name:PEARL DENTISTRY OF BUTLER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:WEISS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-926-8201
Mailing Address - Street 1:101 OAK RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16002-4901
Mailing Address - Country:US
Mailing Address - Phone:724-283-2848
Mailing Address - Fax:724-283-3899
Practice Address - Street 1:101 OAK RIDGE DR
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16002-4901
Practice Address - Country:US
Practice Address - Phone:724-283-2848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-22
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty