Alcoma Dental Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DSO21328L Issued in PA

Legal business name

ALCOMA DENTAL ASSOCIATES

Practice address

5769 Saltsburg Rd
Verona, PA 15147-3211

Phone

(412) 795-5600

Fax

(412) 795-1172

NPI assigned

Nov 8, 2006

Last updated

Aug 22, 2020By 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. James Louis Petraitis, D.M.D.NPI 1487731451

Title

President

Phone

(412) 795-5600

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• James Louis Petraitis, D.M.D.

  • General Practice Dentistry
  • Verona, PA
  • NPI 1487731451
  Authorized official Same address or phone

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881764124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5769 SALTSBURG RD",
            "city": "VERONA",
            "state": "PA",
            "postal_code": "151473211",
            "telephone_number": "412-795-5600",
            "fax_number": "412-795-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5769 SALTSBURG RD",
            "city": "VERONA",
            "state": "PA",
            "postal_code": "151473211",
            "telephone_number": "412-795-5600",
            "fax_number": "412-795-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCOMA DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETRAITIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-795-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DSO21328L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "DSO21328L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Verona, PA
• Providers in Verona, 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 Aug 22, 2020; 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.