Healthcare Provider Details
I. General information
NPI: 1962871103
Provider Name (Legal Business Name): STEEL CITY DENTAL OF PENN HILLS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/17/2015
Last Update Date: 09/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
10493 FRANKSTOWN RD
PITTSBURGH PA
15235-2917
US
IV. Provider business mailing address
10493 FRANKSTOWN RD
PITTSBURGH PA
15235-2917
US
V. Phone/Fax
- Phone: 412-371-1300
- Fax: 412-371-1301
- Phone: 412-371-1300
- Fax: 412-371-1301
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SUNNY
PARK
Title or Position: DENTIST/ OWNER
Credential: D.M.D.
Phone: 412-371-1300