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OMNI DENTAL SHADYSIDE GPS PLLC
NPI 1104622679
Dentist - General Practice in Pittsburgh, PA

Active since February 24, 2025
5813 CENTRE AVE, PITTSBURGH, PA 15206(412) 912-4556 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Omni Dental Shadyside Gps Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMNI DENTAL SHADYSIDE GPS PLLC (NPI 1104622679) is a healthcare organization registered as a general practice in Pittsburgh, Pennsylvania and active in the NPI registry since February 2025. The organization lists Justin Hanlon, Owner, as its authorized official.

NPPES Registry Identity

NPI1104622679
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameOMNI DENTAL SHADYSIDE GPS PLLC
Location Address5813 CENTRE AVEPittsburgh, PA 15206-3709
Mailing Address5813 Centre AvePittsburgh, PA 15206-3709
Phone(412) 912-4556
Organization SubpartNo
Authorized OfficialJustin HanlonOwner · (412) 912-4556
Enumeration DateFebruary 24, 2025
Last NPPES UpdateAugust 21, 2025
NPPES CertifiedAugust 21, 2025
✔ NPI 1104622679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A 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.
5813 CENTRE AVE, Pittsburgh, PA 15206
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Group Practice 1

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RYAN SEIAVITCH
Dentist
5813 CENTRE AVE
PITTSBURGH, PA 15206
Allegheny County (412) 282-3206

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omni Dental Shadyside Gps PLLC's NPI number?

The NPI number for Omni Dental Shadyside Gps PLLC is 1104622679. It was assigned to this organization in the NPPES registry on February 24, 2025.

Where is Omni Dental Shadyside Gps PLLC located?

Omni Dental Shadyside Gps PLLC is located at 5813 Centre Ave, Pittsburgh, PA 15206. The listed phone number is (412) 912-4556.

What is Omni Dental Shadyside Gps PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Omni Dental Shadyside Gps PLLC was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.