James A H Tauberg, DMD
Individual provider Active NPI Oral and Maxillofacial Surgery (Dentist) · PGH, PA
NPI 1407926264 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1407926264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- License
- DS023006L (PA)
- Practice address
- 224 Penn Ave
PGH, PA 15221 - Phone
- (412) 244-9044
- Fax
- (412) 244-9046
- NPI assigned
- Nov 9, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| DS023006L | PA | MD | Oral and Maxillofacial Surgery (Dentist) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DS023006L | PA | Yes |
Addresses
Primary practice location
224 Penn Ave
PGH, PA 15221
Mailing address
224 Penn Ave
PGH, PA 15221
Phone (412) 244-9044
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 726642 | Other | PA | BLUE CROSS BLUE SHIELD |
Other providers in PGH, PA
- Roslonski Optical
- Nancy A Schoman
- William Z. Spatz
- Step by Step Support LLC
- Timothy Patrick Stewart
- Michael Matthew Vinski
- John Louis Waldman
- Ken N Wittebort
- Mark Wrigley
All providers in PGH, PA · Oral and Maxillofacial Surgery (Dentist) 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.