| Pittsburgh Dental Sleep Medicine, Inc. | |
|
11676 Perry Hwy Suite 3201 Wexford PA 15090 | |
| (724) 935-6670 | |
| (724) 935-6758 |
| Full Name | Pittsburgh Dental Sleep Medicine, Inc. |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 11676 Perry Hwy, Wexford, Pennsylvania |
| Authorized Official Name and Position | Robert Richard Rogers (PRESIDENT) |
| Authorized Official Contact | 7249356670 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pittsburgh Dental Sleep Medicine, Inc. 11676 Perry Hwy Suite 3201 Wexford PA 15090-7201 Ph: (724) 935-6670 | Pittsburgh Dental Sleep Medicine, Inc. 11676 Perry Hwy Suite 3201 Wexford PA 15090 Ph: (724) 935-6670 |
| NPI Number | 1700936085 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 06/07/2018 |
| Medicare PECOS PAC ID | 9032210182 |
|---|---|
| Medicare Enrollment ID | O20070719000637 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700936085 | NPI | - | NPPES |
| Provider Name | Nicholas Michael Fazzini |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1790708592 PECOS PAC ID: 0244483709 Enrollment ID: I20130111000165 |
| Provider Name | Becky Fox |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1407876030 PECOS PAC ID: 1153630066 Enrollment ID: I20231018003909 |
| Provider Name | Lindsay Jodon |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1255561635 PECOS PAC ID: 2163865056 Enrollment ID: I20240207003474 |
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