Organization Active NPI

PA Dentist Partners, PC

  • General Practice Dentistry
  • Cranberry Township, PA
National Provider Identifier
1104708940
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PA DENTIST PARTNERS, PC
Practice address
1658 Route 228 Ste 300
Cranberry Township, PA 16066-5342
Phone
(513) 367-2999
NPI assigned
Jul 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
Pamela Buscemi
Title
Vice President
Phone
(586) 557-2748

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1658 Route 228 Ste 300
Cranberry Township, PA 16066-5342

Mailing address

111 E Wacker Dr Ste 2205
Chicago, IL 60601-4600

National Provider Directory

National Provider Directory

Locations

111 E Wacker Dr
Ste 2205
Chicago, IL 60601

1658 Route 228
Ste 300
Cranberry Township, PA 16066
Phone (513) 367-2999

NPI Registry JSON

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

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1104708940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E WACKER DR STE 2205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606014600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1658 ROUTE 228 STE 300",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160665342",
            "telephone_number": "513-367-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PA DENTIST PARTNERS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "BUSCEMI",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "586-557-2748"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry Township, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.