MEDICARE: ASSOCIATED DENTAL SPECIALISTS

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	1223E0200X	Endodontics

General Provider Information

NPI Number	:	1285992503
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASSOCIATED DENTAL SPECIALISTS

Provider Business Mailing Address
First Line	:	1824 MURRAY AVE
Second Line	:	LOUIS BUILDING, SUITE 300
City	:	PITTSBURGH
State	:	PA
Zip	:	15217-1655
Country	:	US
Telephone Number	:	412-422-3636
Fax Number	:

Provider Business Practice Location Address
First Line	:	1824 MURRAY AVE
Second Line	:	LOUIS BUILDING, SUITE 300
City	:	PITTSBURGH
State	:	PA
Zip	:	15217-1655
Country	:	US
Telephone Number	:	412-422-3636
Fax Number	:

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	MR. JOHN G HISCHAR
Credential	:
Telephone Number	:	412-422-3636

Provider Enumeration Date	:	04/24/2012
Last Update Date	:	04/24/2012

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Directions to “ASSOCIATED DENTAL SPECIALISTS ” Practice Location

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