Omni Dental Shadyside GPS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

OMNI DENTAL SHADYSIDE GPS PLLC

Practice address

5813 Centre Ave
Pittsburgh, PA 15206-3709

Phone

(412) 912-4556

NPI assigned

Feb 24, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Justin Hanlon

Title

Owner

Phone

(412) 912-4556

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1104622679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5813 CENTRE AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5813 CENTRE AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063709",
            "telephone_number": "412-912-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI DENTAL SHADYSIDE GPS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "HANLON",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-912-4556",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Kathleen Omer
• Omicelo Construction Group
• Omicelo Health Inc
• Omicelo Health PA LLC
• Omicelo LLC
• Omni Dental Shadyside LLC
• Omnicare Pharmacies of PA West LLC
• Omnihealth DME LLC
• On Call Medical Solutions PC
• On-Site Companionship Services LLC

• General Practice Dentistry in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.