Healthcare Provider Details

I. General information

NPI: 1174048375
Provider Name (Legal Business Name): STEEL CITY DENTAL OF TURTLECREEK LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2017
Last Update Date: 08/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

582 BROWN AVE
TURTLE CREEK PA
15145-1318
US

IV. Provider business mailing address

643 MEADOWBROOK RD
TRAFFORD PA
15085-2818
US

V. Phone/Fax

Practice location:
  • Phone: 412-824-6888
  • Fax: 412-824-6886
Mailing address:
  • Phone: 412-537-1337
  • Fax: 412-371-1301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: HEATHER CIGRAND
Title or Position: ADMIN
Credential:
Phone: 412-371-1300