1821553090 NPI number — PREMIER FAMILY DENTISTRY OF PITTSBURGH, PC

Table of content: JAMES EDWARD CARTER D.C. (NPI 1306148556)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821553090 NPI number — PREMIER FAMILY DENTISTRY OF PITTSBURGH, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PREMIER FAMILY DENTISTRY OF PITTSBURGH, PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821553090
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/16/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4815 LIBERTY AVE STE 106
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15224-2156
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-682-7900
Provider Business Mailing Address Fax Number:
412-682-7954

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5750 CENTRE AVE STE 170
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15206-3761
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-682-7900
Provider Business Practice Location Address Fax Number:
412-682-7954
Provider Enumeration Date:
02/01/2019

Additional Information

Authorized Official

Authorized Official Last Name:
CAMPFIELD
Authorized Official First Name:
MEGHAN
Authorized Official Middle Name:
MARIE
Authorized Official Title or Position:
OWNER/GENERAL DENTIST
Authorized Official Telephone Number:
412-682-7900

Provider Taxonomy Codes

  • Taxonomy code: 261QD0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com