MEDICARE: CRANBERRY PEDIATRIC DENTISTRY, 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	1223P0221X	Pediatric Dentistry	DS038699	PA

General Provider Information

NPI Number	:	1548741937
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRANBERRY PEDIATRIC DENTISTRY, PC

Provider Business Mailing Address
First Line	:	117 MARSHALL DR
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15228-1789
Country	:	US
Telephone Number	:	607-331-1020
Fax Number	:

Provider Business Practice Location Address
First Line	:	20421 ROUTE 19
Second Line	:
City	:	CRANBERRY TWP
State	:	PA
Zip	:	16066-7513
Country	:	US
Telephone Number	:	724-776-1228
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PRIYANKA VADDI
Credential	:	DMD
Telephone Number	:	607-331-1020

Provider Enumeration Date	:	08/24/2018
Last Update Date	:	08/24/2018

Similar Medicare Providers

1558584896 — DR. CHRISTA TAPERT DDS, MS
Practice Location Address:

20421 ROUTE 19 , SUITE 320
CRANBERRY TOWNSHIP, PA
16066-7513

Practice Phone: 724-776-1228
Practice Fax:

1629297866 — STEPHEN J. PENNELL, D.C. PC
Practice Location Address:

20421 ROUTE 19 , SUITE 100
CRANBERRY TOWNSHIP, PA
16066-7513

Practice Phone: 724-776-5800
Practice Fax: 724-776-6682

1831366350 — HEIDI CLOUSE CPNP
Practice Location Address:

20421 ROUTE 19 , SUITE 201
CRANBERRY TOWNSHIP, PA
16066-7513

Practice Phone: 724-776-4433
Practice Fax: 724-776-4475

1518818806 — ALEXANDRA PEWORCHIK RDN
Practice Location Address:

205 ELMHURST CIR
CRANBERRY TWP, PA
16066-2819

Practice Phone: 607-425-5749
Practice Fax:

1285223669 — KRISTIN MILLER
Practice Location Address:

20399 RT 19 , STE 120
CRANBERRY TWP, PA
16066

Practice Phone: 724-709-4667
Practice Fax:

1710980412 — ANTOINETTE ALONZO BEAMAN MD
Practice Location Address:

8000 CRANBERRY SPRINGS DR FL 1
CRANBERRY TWP, PA
16066-6687

Practice Phone: 724-720-3098
Practice Fax:

Directions to “CRANBERRY PEDIATRIC DENTISTRY, PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.