MNM Dental Shadyside LLC

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

Legal business name

MNM DENTAL SHADYSIDE LLC

Doing business as

Atlas Dental Specialists Shadyside

Practice address

5830 Ellsworth Ave Ste 304
Pittsburgh, PA 15232-1778

Phone

(412) 730-2560

Fax

(412) 730-2562

NPI assigned

Aug 22, 2023

Last updated

Aug 22, 2023By 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

Natalie Bullock

Title

Chief Operating Officer

Phone

(412) 281-9411

Specialties & licenses 1

Addresses

Other names 1

• Atlas Dental Specialists Shadyside Doing business as

Locations

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1952185811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 ELLSWORTH AVE STE 304",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321778",
            "telephone_number": "412-730-2560",
            "fax_number": "412-730-2562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 ELLSWORTH AVE STE 304",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321778",
            "telephone_number": "412-730-2560",
            "fax_number": "412-730-2562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MNM DENTAL SHADYSIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "412-281-9411"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlas Dental Specialists Shadyside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Mlilo, M.D
• Stacey Mlodzianowski
• Onyi Mmagu, MD
• MN Homecare LLC
• MNM Dental Group (Atlas Dental Specialists)
• Katherine Sarah Mnuskin, D.O.
• Audrey Faith Moad, CRNA
• Amanda Copenhaver Moale, M.D.
• Pamela Moalli
• Mobile Medical Technologies Inc

• Prosthodontics in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Prosthodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.