Provider Demographics
NPI:1902010101
Name:DIPIAZZA & DIPIAZZA LLC
Entity Type:Organization
Organization Name:DIPIAZZA & DIPIAZZA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANGELO
Authorized Official - Middle Name:PHILIP
Authorized Official - Last Name:DIPIAZZA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:412-372-0141
Mailing Address - Street 1:116 FOX PLAN RD
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146
Mailing Address - Country:US
Mailing Address - Phone:412-372-0141
Mailing Address - Fax:412-373-6270
Practice Address - Street 1:116 FOX PLAN RD
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146
Practice Address - Country:US
Practice Address - Phone:412-372-0141
Practice Address - Fax:412-373-6270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS015080L122300000X
PADS027839L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty