Provider Demographics
NPI:1487425708
Name:AFFORDABLE DENTURES & IMPLANTS OF PENNSYLVANIA IX, PLLC
Entity type:Organization
Organization Name:AFFORDABLE DENTURES & IMPLANTS OF PENNSYLVANIA IX, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:ANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIEH
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:724-799-4241
Mailing Address - Street 1:7219 MCKNIGHT RD STE D
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-3524
Mailing Address - Country:US
Mailing Address - Phone:412-943-0008
Mailing Address - Fax:
Practice Address - Street 1:7219 MCKNIGHT RD STE D
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-3524
Practice Address - Country:US
Practice Address - Phone:412-943-0008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-15
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty