Dandashi, Moutaz

Dandashi, Moutaz is an individual health care provider with primary practice located at 1597 Washington Pike Ste A5 , Bridgeville PA 15017-2881. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Dandashi, Moutaz can be contacted via phone (412) 279-4800.

Contact Information

Primary practice address
1597 Washington Pike Ste A5 Bridgeville PA 15017-2881
Fax: (412) 279-7119
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DS029415 Pennsylvania

Profile Details

NPI number 1588625289
LBN Legal business name Dandashi, Moutaz
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Dec 6th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588625289 NPPES
Pennsylvania MEDICAID 0015280950010
Pennsylvania MEDICAID 0015280950011
Pennsylvania MEDICAID 0015280950022
Pennsylvania MEDICAID 076818900
Pennsylvania MEDICAID 0015280950024
Pennsylvania MEDICAID 0015280950016
Pennsylvania MEDICAID 0015280950020
Pennsylvania MEDICAID 0015280950021
Pennsylvania MEDICAID 0015280950023

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