South Side Dental Pavilion
South Side Dental Pavilion provides General Practice Dentistry in Pittsburgh, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2008.
- Licensed in
- PA
- In the registry since
- 2008
Practice location Address checks out
1408 E Carson StPittsburgh, PA 15203 Not confirmed with CMS for 17 years — call before visiting
Phone: (412) 431-6631
Fax: (412) 431-6297
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence DSO18546L (PA) |
|---|
Record details
| NPI number | 1619128857 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ronald Dicarlo — Doctor · (412) 431-6631 |
| NPI enumerated | October 7, 2008 |
| Last updated in NPPES | October 7, 2008 |
| Mailing address | 1408 East Carson Street, Pittsburgh, PA 15203 |
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