Healthcare Provider Details

I. General information

NPI: 1558415430
Provider Name (Legal Business Name): GURTNER &GURTNER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 04/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

429 COCHRAN RD
PITTSBURGH PA
15228-1211
US

IV. Provider business mailing address

429 COCHRAN RD
PITTSBURGH PA
15228-1211
US

V. Phone/Fax

Practice location:
  • Phone: 412-341-0133
  • Fax: 412-341-5711
Mailing address:
  • Phone: 412-341-0133
  • Fax: 412-341-5711

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDS026586L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License NumberDS027467L
License Number StatePA

VIII. Authorized Official

Name: DR. STEPHEN M GURTNER
Title or Position: OWNER
Credential: DMD
Phone: 412-341-0133