ESTHETIC DENTISTRY PITTSBURGH NPI 1003026808

Dentist (General Practice) in Pittsburgh, PA

NPI 1003026808 Organization Dentist General Practice

About ESTHETIC DENTISTRY PITTSBURGH

Esthetic Dentistry Pittsburgh is a provider established in Pittsburgh, Pennsylvania specializing in dentist (general practice) . The NPI number of Esthetic Dentistry Pittsburgh is 1003026808 and was assigned on May 2007. The practitioner's primary taxonomy code is 1223G0001X with license number DS026926L (PA). The provider is registered as an organization and their NPI record was last updated one year ago. Esthetic Dentistry Pittsburgh operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Susan M Petruska D.m.d. (Owner)

A dentist like Esthetic Dentistry Pittsburgh is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

NPI

1003026808

Provider NameESTHETIC DENTISTRY PITTSBURGH
Provider Location Address180 FORT COUCH RD SUITE 200 PITTSBURGH, PA 15241
Provider Mailing Address180 FORT COUCH RD SUITE 200 PITTSBURGH, PA 15241
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-23-2007
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code1223G0001X
ClassificationDentist
TypeDental Providers
SpecializationGeneral Practice
License No.DS026926L
License StatePA
Taxonomy DescriptionA general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Business Address

ESTHETIC DENTISTRY PITTSBURGH
180 FORT COUCH RD
SUITE 200
PITTSBURGH, PA
ZIP 15241
Phone: (412) 854-2310
Fax: (412) 854-1101

Get Directions


Mailing Address

ESTHETIC DENTISTRY PITTSBURGH
180 FORT COUCH RD
SUITE 200
PITTSBURGH, PA
ZIP 15241
Phone: (412) 854-2310
Fax: (412) 854-1101



Authorized Official

Authorized Official NameDR. SUSAN M PETRUSKA D.M.D.
Authorized Official TitleOWNER
Authorized Official Phone(412) 854-2310

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003886706 SANDRA JONES-GORDON MD
Individual
Internal Medicine180 FORT COUCH RD
PITTSBURGH, PA 15241
(412) 831-2288
1447224910 ALAN ARTHUR AXELSON MD
Individual
Psychiatry & Neurology (Psychiatry)180 FORT COUCH RD STE 304
PITTSBURGH, PA 15241
(412) 831-0355
1124092531 JOHN ANTHONY SONETTI LCSW
Individual
Social Worker (Clinical)180 FORT COUCH RD SUITE 304
PITTSBURGH, PA 15241
(412) 831-0355
1962476374 WENDY N WEINBLUM LCSW
Individual
Social Worker (Clinical)180 FORT COUCH RD SUITE 304
PITTSBURGH, PA 15241
(412) 831-0355
1730153156 NANETTE J MISSIG LCSW
Individual
Social Worker (Clinical)180 FORT COUCH RD STE 304
PITTSBURGH, PA 15241
(412) 831-0355
1457325870 MARILYN A HAYES LCSW
Individual
Social Worker (Clinical)180 FORT COUCH RD STE 304
PITTSBURGH, PA 15241
(412) 831-0355
1134193550 GAIL EILEEN KILLMEYER
Individual
Social Worker180 FORT COUCH RD SUITE 304
PITTSBURGH, PA 15241
(412) 831-0355
1659345122 KAREN COOPER LCSW
Individual
Social Worker (Clinical)180 FORT COUCH RD STE 304
PITTSBURGH, PA 15241
(412) 831-0355
1558335026 LINDA M GOURASH MD
Individual
Pediatrics (Developmental - Behavioral Pediatrics)180 FORT COUCH RD SUITE 304
PITTSBURGH, PA 15241
(412) 831-0355
1972577393 WILLIAM LAW III MD
Individual
Psychiatry & Neurology (Psychiatry)180 FORT COUCH RD SUITE 304
PITTSBURGH, PA 15241
(412) 831-0355
1639143803 ROBERT G DIFRANCO LCSW
Individual
Social Worker180 FORT COUCH RD SUITE 304
PITTSBURGH, PA 15241
(412) 831-0355
1457325623 HOWARD P FRIDAY PHD
Individual
Psychologist180 FORT COUCH RD SUITE 304
PITTSBURGH, PA 15241
(412) 831-0355
1245204429 STEPHEN ERWIN LEE MD
Individual
Psychiatry & Neurology (Psychiatry)180 FORT COUCH RD SUITE 304
PITTSBURGH, PA 15241
(412) 831-0355
1992771026 PATRICIA C SKORUPKA RN CS PHD
Individual
Clinical Nurse Specialist180 FORT COUCH RD SUITE 304
PITTSBURGH, PA 15241
(412) 831-0355
1154398469 AMY LYNN ANKROM CRNP MSN
Individual
Registered Nurse180 FORT COUCH RD STE 304
PITTSBURGH, PA 15241
(412) 831-0355
1538117486 DAVID LEE MILLER M.D.
Individual
Allergy & Immunology (Allergy)180 FORT COUCH RD SUITE 375
PITTSBURGH, PA 15241
(412) 833-8811
1922056530 JAMES N DEANGELO D.O.
Individual
Allergy & Immunology (Allergy)180 FORT COUCH RD SUITE 375
PITTSBURGH, PA 15241
(412) 833-8811
1083662720 MICHAEL J PALUMBO M.D.
Individual
Allergy & Immunology (Allergy)180 FORT COUCH RD SUITE 375
PITTSBURGH, PA 15241
(412) 833-8811
1477587962DR. RICHARD K DYER M.D.
Individual
Psychiatry & Neurology (Psychiatry)180 FORT COUCH RD SUITE 304
PITTSBURGH, PA 15241
(412) 831-0355
1134135908 JAMES KUNKEL PT
Individual
Physical Therapist180 FORT COUCH RD SUITE 400
PITTSBURGH, PA 15241
(412) 831-2060

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.