Organization · Type 2 NPI

Premiere Anesthesia for Dentistry

Dental Anesthesiology · Wexford, PA

NPI number 1285047431 Active

Practice location

106 Village Pl
Wexford, PA 15090-5611

Fax (724) 759-7952

Mailing address

10154 Woodbury Dr
Wexford, PA 15090-9580

Specialties and licenses

TaxonomyCodeLicense
Dental Anesthesiology Primary 1223D0004XDS036141 (PA)
Dental Anesthesiology 1223D0004XDS035406 (PA)
Dental Anesthesiology 1223D0004XDS031543L (PA)
Dental Anesthesiology 1223D0004XDS029696L (PA)
Dental Anesthesiology 1223D0004XDP000682 (PA)
Dental Anesthesiology 1223D0004XDA031643 (PA)

Dental Anesthesiology: 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.

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About NPI 1285047431

Premiere Anesthesia for Dentistry's National Provider Identifier is 1285047431, issued on Jun 5, 2014. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Wexford, PA. The record was last updated on Jun 5, 2014.