PREMIERE ANESTHESIA FOR DENTISTRY
NPI 1285047431
Dentist - Dentist Anesthesiologist in Wexford, PA

Active since June 05, 2014
106 VILLAGE PL, WEXFORD, PA 15090(724) 759-7948(724) 759-7952 Get Directions Write a Review

NPPES record last updated: June 5, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • Dentist Anesthesiologist

About PREMIERE ANESTHESIA FOR DENTISTRY

This page provides the complete NPI Profile along with additional information for Premiere Anesthesia For Dentistry, a provider established in Wexford, Pennsylvania operating as a Dentist, focusing in dentist anesthesiologist . The healthcare provider is registered in the NPI registry with number 1285047431 assigned on June 2014. The practitioner's primary taxonomy code is 1223D0004X with license number DS036141 (PA). The provider is registered as an organization and their NPI record was last updated 12 years ago. Premiere Anesthesia For Dentistry operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ms. Valerie Grant (Office Manager)

NPI
1285047431 Verify this NPI
Provider Name
PREMIERE ANESTHESIA FOR DENTISTRY
Entity Type
Organization
Location Address
106 VILLAGE PL WEXFORD, PA 15090
Location Phone
(724) 759-7948
Location Fax
(724) 759-7952
Mailing Address
10154 WOODBURY DR WEXFORD, PA 15090
Mailing Phone
(724) 759-7948
Mailing Fax
(724) 759-7952
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-05-2014
Last Update Date
06-05-2014
Code Navigator

A dentist like Premiere Anesthesia For Dentistry 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.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Dentist Anesthesiologist

Taxonomy Code
1223D0004X
Type
Dental Providers
License No.
DS036141
License State
PA
Taxonomy Description
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11223D0004XDental Providers

Dentist
Dentist Anesthesiologist

DS035406 (PA)
21223D0004XDental Providers

Dentist
Dentist Anesthesiologist

DS031543L (PA)
31223D0004XDental Providers

Dentist
Dentist Anesthesiologist

DS029696L (PA)
41223D0004XDental Providers

Dentist
Dentist Anesthesiologist

DP000682 (PA)
51223D0004XDental Providers

Dentist
Dentist Anesthesiologist

DA031643 (PA)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. VALERIE GRANT

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(724) 759-7948

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285047431, enumerated as an "organization" on June 05, 2014.

The provider is located at 106 VILLAGE PL WEXFORD, PA 15090 and the phone number is (724) 759-7948.

Dentist with taxonomy code 1223D0004X and a focus in Dentist Anesthesiologist.