MEDICARE: PEACE DENTAL, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DS025199L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	127987	OTHER	PA	UNITED CONCORDIA
2	2105700	OTHER	PA	UNITED CONCORDIA

General Provider Information

NPI Number	:	1013093640
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEACE DENTAL, PC

Provider Business Mailing Address
First Line	:	1509 MOUNT ROYAL BLVD
Second Line	:
City	:	GLENSHAW
State	:	PA
Zip	:	15116-2207
Country	:	US
Telephone Number	:	412-486-5155
Fax Number	:	412-487-3525

Provider Business Practice Location Address
First Line	:	1509 MOUNT ROYAL BLVD
Second Line	:
City	:	GLENSHAW
State	:	PA
Zip	:	15116-2207
Country	:	US
Telephone Number	:	412-486-5155
Fax Number	:	412-487-3525

Authorized Official
Title or Position	:	DENTIST
Name	:	ARNOLD M. PEACE
Credential	:	D.M.D.
Telephone Number	:	412-486-5155

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	08/04/2009

Similar Medicare Providers

1710064548 — ARNOLD M. PEACE D.M.D.
Practice Location Address:

1509 MOUNT ROYAL BLVD
GLENSHAW, PA
15116-2207

Practice Phone: 412-486-5155
Practice Fax:

1285290502 — IAN MICHAEL PEACE
Practice Location Address:

1509 MOUNT ROYAL BLVD
GLENSHAW, PA
15116-2207

Practice Phone: 412-486-5155
Practice Fax:

1164045852 — NICOLE PEACE
Practice Location Address:

1509 MOUNT ROYAL BLVD
GLENSHAW, PA
15116-2207

Practice Phone: 412-486-5155
Practice Fax:

1184627879 — JENNIFER R ROMERO MD
Practice Location Address:

3394 SAXONBURG BLVD , SUITE 600
GLENSHAW, PA
15116-3168

Practice Phone: 412-767-0707
Practice Fax: 412-767-0708

1083606701 — VALERIE P DONALDSON MD
Practice Location Address:

3447 HARTS RUN RD , SUITE C
GLENSHAW, PA
15116-3027

Practice Phone: 412-767-9890
Practice Fax: 412-767-9451

1841275351 — DR. LEROY EDWARD PRYOR D. M. D.
Practice Location Address:

1724 MOUNT ROYAL BLVD
GLENSHAW, PA
15116-2115

Practice Phone: 412-213-1999
Practice Fax: 412-213-6985

Directions to “PEACE DENTAL, PC ” Practice Location

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