Healthcare Provider Details

I. General information

NPI: 1326616764
Provider Name (Legal Business Name): JENNIFER DUME DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2021
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 E NORTH AVE STE 0
PITTSBURGH PA
15212-4756
US

IV. Provider business mailing address

320 E NORTH AVE STE 0
PITTSBURGH PA
15212-4756
US

V. Phone/Fax

Practice location:
  • Phone: 412-359-3131
  • Fax:
Mailing address:
  • Phone: 412-359-3131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDS044358
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: