NPIMap

Organization Active NPI

Professional Dental Alliance Specialty 2

Doing business as Meridian Dental Specialists

  • Endodontics
  • Uniontown, PA
National Provider Identifier
1508358425
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
PROFESSIONAL DENTAL ALLIANCE SPECIALTY 2
Doing business as
Meridian Dental Specialists
Practice address
204 Mary Higginson Lane
Ste. 100
Uniontown, PA 15401
Phone
(724) 438-0600
Fax
(724) 438-0601
NPI assigned
Jun 6, 2018
Last updated
Oct 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Janet Antonini
Title
Credentialing
Phone
(304) 765-5019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X PA Primary

Addresses

Primary practice location

204 Mary Higginson Lane
Ste. 100
Uniontown, PA 15401

Mailing address

125 Enterprise Dr Ste 200
Pittsburgh, PA 15275-1223
Phone (724) 698-2500

Other names 1

  • Meridian Dental Specialists Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jeffrey G Minchau DDS Ms Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

204 Mary Higginson Ln
Ste 100
Uniontown, PA 15401
Phone (724) 438-0600

9000 Coombs Farm Rd
Ste 304
Morgantown, WV 26508
Phone (304) 594-1670

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1508358425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 ENTERPRISE DR STE 200",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152751223",
            "telephone_number": "724-698-2500",
            "fax_number": "844-399-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 MARY HIGGINSON LANE",
            "address_2": "STE. 100",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "15401",
            "telephone_number": "724-438-0600",
            "fax_number": "724-438-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL DENTAL ALLIANCE SPECIALTY 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-06",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "ANTONINI",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "304-765-5019"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meridian Dental Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Uniontown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.