Healthcare Provider Details

I. General information

NPI: 1891204749
Provider Name (Legal Business Name): STEEL CITY DENTAL OF THE BURGH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2017
Last Update Date: 07/21/2022
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

Practice location:
  • Phone: 412-371-1300
  • Fax: 412-371-1301
Mailing address:
  • Phone: 412-371-1300
  • Fax: 412-371-1301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: ZACH CHURCHFIELD
Title or Position: ADMIN
Credential:
Phone: 412-371-1300