South Side Dental Pavilion

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DSO18546L Issued in PA

Legal business name

SOUTH SIDE DENTAL PAVILION

Practice address

1408 East Carson Street
Pittsburgh, PA 15203

Phone

(412) 431-6631

Fax

(412) 431-6297

NPI assigned

Oct 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ronald A DicarloNPI 1083798706

Title

Doctor

Phone

(412) 431-6631

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald Anthony Dicarlo, DMD

  • Dentist
  • Pittsburgh, PA
  • NPI 1083798706
  NPD (past) Authorized official
• Stephen George Dunn, DMD

  • General Practice Dentistry
  • Pittsburgh, PA
  • NPI 1336230721
  NPD (past)

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1619128857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 EAST CARSON STREET",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15203",
            "telephone_number": "412-431-6631",
            "fax_number": "412-431-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 EAST CARSON STREET",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15203",
            "telephone_number": "412-431-6631",
            "fax_number": "412-431-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SIDE DENTAL PAVILION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "DICARLO",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "412-431-6631",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DSO18546L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Hills Psychotherapy Associates, LLC
• South Hills Pulmonary Associates
• South Hills Radiology Associates
• South Pittsburgh Anesthesia Associates, PC
• South Pittsburgh Dental Studio PLLC
• South Vue Dentistry
• Jeannette Elizabeth South-Paul, MD
• Southern Home Care Services, Inc.
• Southerncare, Inc.
• Southside Optical Associates LLC

• General Practice Dentistry in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.