Healthcare Provider Details

I. General information

NPI: 1083690358
Provider Name (Legal Business Name): RAYMOND CARL TROP D.M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2005
Last Update Date: 12/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5820 CENTRE AVE SUITE 200
PITTSBURGH PA
15206-3710
US

IV. Provider business mailing address

410 FOX CHAPEL RD
PITTSBURGH PA
15238-2226
US

V. Phone/Fax

Practice location:
  • Phone: 412-661-7690
  • Fax: 412-661-7695
Mailing address:
  • Phone: 412-963-0715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberDS019112L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: