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NPI Code Detail

MEDICARE: OMNI DENTAL MCMURRAY GPS PLLC

MEDICARE: OMNI DENTAL MCMURRAY GPS PLLC
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
11223G0001XGeneral Practice Dentistry

General Provider Information

NPI Number : 1831995307
Entity Type Code : Organization
Provider Name (Legal Business Name) : OMNI DENTAL MCMURRAY GPS PLLC
Provider Business Mailing Address
First Line : 3035 WASHINGTON RD STE 3
Second Line :
City : MC MURRAY
State : PA
Zip : 15317-3281
Country : US
Telephone Number : 724-941-2200
Fax Number :
Provider Business Practice Location Address
First Line : 3035 WASHINGTON RD STE 3
Second Line :
City : MC MURRAY
State : PA
Zip : 15317-3281
Country : US
Telephone Number : 724-941-2200
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. JUSTIN HANLON
Credential :
Telephone Number : 724-941-2200
Provider Enumeration Date : 02/24/2025
Last Update Date : 02/24/2025

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Directions to “OMNI DENTAL MCMURRAY GPS PLLC ” Practice Location

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