Provider Demographics
NPI:1740327253
Name:PALLOTTA, EDWARD M (DMD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:M
Last Name:PALLOTTA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5700 CORPORATE DR
Mailing Address - Street 2:STE 405
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5861
Mailing Address - Country:US
Mailing Address - Phone:412-486-4080
Mailing Address - Fax:412-753-0290
Practice Address - Street 1:5700 CORPORATE DR
Practice Address - Street 2:STE 405
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5861
Practice Address - Country:US
Practice Address - Phone:412-486-4080
Practice Address - Fax:412-753-0290
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PADS031407L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice