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General NPI Number Information
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NPI Number | 1902616915
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Entity Type | Organization
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Legal Business Name | PEARL DENTISTRY OF BRIDGEVILLE, PLLC
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Dates
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Enumeration Date | 01/10/2025
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 212 WASHINGTON AVE
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City | BRIDGEVILLE
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State | PA
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Zip | 15017-2344
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Country | US
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Telephone | 412-221-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 121 LYNDHURST CIR
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City | WEXFORD
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State | PA
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Zip | 15090-8870
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Country | US
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Telephone | 724-612-2729
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. MATTHEW LEE WEISS
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Credential | DMD
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Telephone | 724-612-2729
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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