Provider Demographics
NPI:1841346822
Name:ALLEGHENY ENDODONTICS LLC
Entity type:Organization
Organization Name:ALLEGHENY ENDODONTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ENDODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:JR
Authorized Official - Credentials:DDS MSD
Authorized Official - Phone:412-833-9540
Mailing Address - Street 1:86 FT COUCH RD
Mailing Address - Street 2:ALLEGHENY ENDODONTIC SPECIALISTS INC
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241
Mailing Address - Country:US
Mailing Address - Phone:412-833-9540
Mailing Address - Fax:412-833-4525
Practice Address - Street 1:86 FT COUCH RD
Practice Address - Street 2:ALLEGHENY ENDODONTIC SPECIALISTS INC
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241
Practice Address - Country:US
Practice Address - Phone:412-833-9540
Practice Address - Fax:412-833-4525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0353411223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty