Omni Dental Shadyside Gps Pllc
NPI #1104622679 in Pittsburgh, Pennsylvania
Provider Information
- NPI Number
- 1104622679
- Entity Type
- Organization
- Organization Name
- Omni Dental Shadyside Gps Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 24, 2025
- Last Updated
- Aug 21, 2025
Practice Location
- Address
- 5813 CENTRE AVE
- City
- Pittsburgh
- State
- Pennsylvania
- ZIP Code
- 15206-3709
- Phone
- (412) 912-4556
Authorized Official
- Name
- DR. JUSTIN HANLON
- Title
- OWNER
- Phone
- (412) 912-4556
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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