Healthcare Provider Details

I. General information

NPI: 1801720651
Provider Name (Legal Business Name): SAMUEL OLIVER MACGREGOR DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7372 MCKNIGHT RD STE B
PITTSBURGH PA
15237-3558
US

IV. Provider business mailing address

538 LILY LAKE RD
NORTH ABINGTON TOWNSHIP PA
18414-8141
US

V. Phone/Fax

Practice location:
  • Phone: 412-364-6440
  • Fax:
Mailing address:
  • Phone: 570-909-6766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDS045777
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: