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General NPI Number Information
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NPI Number | 1497176184
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Entity Type | Organization
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Legal Business Name | PITTSBURGH DENTAL SLEEP MEDICINE, INC.
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Dates
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Enumeration Date | 12/23/2013
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 3824 NORTHERN PIKE STE 100
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City | MONROEVILLE
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State | PA
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Zip | 15146-2162
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Country | US
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Telephone | 412-823-1400
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Fax | 412-823-1414
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Provider Business Mailing Address
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Address Line | 11676 PERRY HWY STE 3201
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City | WEXFORD
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State | PA
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Zip | 15090-7204
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Country | US
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Telephone | 724-935-6670
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Fax | 724-935-6758
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT RICHARD ROGERS III
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Credential | DMD
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Telephone | 724-935-6670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS020317L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | DS020317L
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License Number State | PA
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