Organization · Type 2 NPI

Upmc Presbyterian Shadyside

Oral and Maxillofacial Surgery (Dentist) · Pittsburgh, PA

NPI number 1043392855 Active

Practice location

3459 5th Ave, Suite 202 South
Pittsburgh, PA 15213-3236

Call (412) 648-6080 Map

Fax (412) 648-6798

Specialties and licenses

TaxonomyCodeLicense
Prosthodontics 1223P0700XDS027010L (PA)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDS029690L (PA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1043392855

Upmc Presbyterian Shadyside's National Provider Identifier is 1043392855, issued on Oct 20, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Pittsburgh, PA. The record was last updated on Sep 11, 2025.