Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Omni Dental Shadyside Gps PLLC

Organization General Practice Dentistry · NPI 1104622679

Omni Dental Shadyside Gps PLLC provides General Practice Dentistry in Pittsburgh, Pennsylvania. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5813 Centre Ave
Pittsburgh, PA 15206-3709
Phone: (412) 912-4556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1104622679
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Hanlon — Owner · (412) 912-4556
NPI enumeratedFebruary 24, 2025
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025
Mailing address5813 Centre Ave, Pittsburgh, PA 15206-3709

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