Allegheny Dental Group PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DS027815L Issued in PA

Legal business name

ALLEGHENY DENTAL GROUP PC

Practice address

1532 Lincoln Way
White Oak, PA 15131-1712

Phone

(412) 672-1199

Fax

(724) 978-0327

NPI assigned

Jan 2, 2015

Last updated

Jan 2, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas D Kratzenberg, DMDNPI 1801816020

Title

President

Phone

(412) 672-1199

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas D Kratzenberg, D.M.D.

  • General Practice Dentistry
  • McKeesport, PA
  • NPI 1801816020
  NPD (past) Authorized official

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

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420156800000",
    "number": "1134517998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1532 LINCOLN WAY",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "151311712",
            "telephone_number": "412-672-1199",
            "fax_number": "724-978-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1532 LINCOLN WAY",
            "city": "WHITE OAK",
            "state": "PA",
            "postal_code": "151311712",
            "telephone_number": "412-672-1199",
            "fax_number": "724-978-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGHENY DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-02",
        "last_updated": "2015-01-02",
        "status": "A",
        "authorized_official_last_name": "KRATZENBERG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-672-1199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PA",
            "license": "DS027815L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in White Oak, PA
• Providers in White Oak, PA by specialty
• Dental Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; 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.