Healthcare Provider Details
I. General information
NPI: 1457215394
Provider Name (Legal Business Name): PEARL DENTISTRY OF BETHEL PARK, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6011 BAPTIST RD STE 300
PITTSBURGH PA
15236-3614
US
IV. Provider business mailing address
1468 DOMINION HTS
PITTSBURGH PA
15241-3136
US
V. Phone/Fax
- Phone: 412-831-8700
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD0000X |
| Taxonomy | Dental Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MATTHEW
LEE
WEISS
Title or Position: OWNER/ DENTIST
Credential: DMD
Phone: 724-612-2729