Provider Demographics
NPI:1801049812
Name:TIMOTHY SLUSER DMD AND ASSOCIATES,PC
Entity type:Organization
Organization Name:TIMOTHY SLUSER DMD AND ASSOCIATES,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:J
Authorized Official - Last Name:SLUSER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:724-567-7317
Mailing Address - Street 1:1120 FREEPORT RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-3104
Mailing Address - Country:US
Mailing Address - Phone:724-567-7317
Mailing Address - Fax:724-567-1787
Practice Address - Street 1:1120 FREEPORT RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-3104
Practice Address - Country:US
Practice Address - Phone:724-567-7317
Practice Address - Fax:724-567-1787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-04
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS025734122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty