MEDICARE: DRS L P RUDOLPH & J E TIANO 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

General Provider Information

NPI Number	:	1548397722
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRS L P RUDOLPH & J E TIANO PC

Provider Business Mailing Address
First Line	:	1165 MCKINNEY LN
Second Line	:	SUITE 1006
City	:	PITTSBURGH
State	:	PA
Zip	:	15220-3417
Country	:	US
Telephone Number	:	412-937-9070
Fax Number	:

Provider Business Practice Location Address
First Line	:	1165 MCKINNEY LN
Second Line	:	SUITE 1006
City	:	PITTSBURGH
State	:	PA
Zip	:	15220-3417
Country	:	US
Telephone Number	:	412-937-9070
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	MR. FRANK WILLIAM LANGELL
Credential	:
Telephone Number	:	412-937-9070

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	08/22/2020

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