Dental Implant Specialists of Pennsylvania I, PC

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

Legal business name

DENTAL IMPLANT SPECIALISTS OF PENNSYLVANIA I, PC

Doing business as

Montour Oral Surgery

Practice address

4955 Steubenville Pike Ste 361
Pittsburgh, PA 15205-9604

Phone

(412) 788-9333

NPI assigned

Oct 18, 2024

Last updated

Oct 18, 2024By 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

George Tunder

Title

Provider Partner

Phone

(412) 788-9333

Specialties & licenses 2

Addresses

Other names 1

• Montour Oral Surgery Doing business as

Locations

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.

• Mark R Grenadier, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Pittsburgh, PA
  • NPI 1932181831
  NPD (past)

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1922829332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 MAPLE AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752193906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 STEUBENVILLE PIKE STE 361",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152059604",
            "telephone_number": "412-788-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL IMPLANT SPECIALISTS OF PENNSYLVANIA I, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "TUNDER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PROVIDER PARTNER",
        "authorized_official_telephone_number": "412-788-9333"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montour Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jonathon Michael Denson
• Dent-Al Smiles Managment Group, LLC
• Dent-Al Smiles, LTD (Dent-Al Smiles of Shadyside)
• Dent-Al Smiles, LTD (Dent-Al Smiles of Forest Hills)
• Dental Arts of Pittsburgh PC
• Dental Office of George D Felder
• Dental Offices of George D Felder
• Dental Professionals of Pennsylvania, P.C. (North Hills Family Dental)
• Dental Professionals of Pennsylvania, P.C. (Uptown Dental)
• Dental Professionals of Pennsylvania, P.C. (Certus Dental Care)

• Oral and Maxillofacial Pathology Dentistry in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Oral and Maxillofacial Pathology Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.