Healthcare Provider Details

I. General information

NPI: 1023297629
Provider Name (Legal Business Name): ELENI ELIAS PAPPAS DDS, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELENI ELIAS PAPPAS DDS, MS

II. Dates (important events)

Enumeration Date: 10/31/2007
Last Update Date: 11/11/2021
Certification Date: 11/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 PARKWAY CTR SUITE G-1
PITTSBURGH PA
15220-3510
US

IV. Provider business mailing address

2 PARKWAY CTR SUITE G-1
PITTSBURGH PA
15220-3510
US

V. Phone/Fax

Practice location:
  • Phone: 412-937-1900
  • Fax:
Mailing address:
  • Phone: 412-937-1900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223D0004X
TaxonomyDental Anesthesiology
License Number30022654
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code1223D0004X
TaxonomyDental Anesthesiology
License Number4447
License Number StateSC
# 3
Primary TaxonomyY
Taxonomy Code1223D0004X
TaxonomyDental Anesthesiology
License NumberDS035882
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: