Timothy J Sluser, DMD
Individual provider Active NPI General Practice Dentistry · Vandergrift, PA
NPI 1366599896 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1366599896
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS025734L (PA)
- Practice address
- 139 Columbia Ave
Vandergrift, PA 15690-1101 - Phone
- (724) 567-7317
- Fax
- (724) 567-1787
- NPI assigned
- Jan 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS025734L | PA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS025734L | PA | Yes |
Addresses
Primary practice location
139 Columbia Ave
Vandergrift, PA 15690-1101
Mailing address
139 Columbia Ave
Vandergrift, PA 15690-1101
Phone (724) 567-7317
NPI Registry JSON
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366599896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 COLUMBIA AVE",
"city": "VANDERGRIFT",
"state": "PA",
"postal_code": "156901101",
"telephone_number": "724-567-7317",
"fax_number": "724-567-1787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 COLUMBIA AVE",
"city": "VANDERGRIFT",
"state": "PA",
"postal_code": "156901101",
"telephone_number": "724-567-7317",
"fax_number": "724-567-1787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLUSER",
"first_name": "TIMOTHY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS025734L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vandergrift, PA
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- Jody Ernest Sarno
- Lori Michele Shotts
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- Paul A Tallarom
- Vandergrift Fire Department No 2
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All providers in Vandergrift, PA · General Practice Dentistry in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.