Provider Demographics
NPI:1538412986
Name:ASPINWALL FAMILY DENTAL PC
Entity type:Organization
Organization Name:ASPINWALL FAMILY DENTAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:CERMINARA
Authorized Official - Suffix:JR
Authorized Official - Credentials:DMD
Authorized Official - Phone:412-963-1515
Mailing Address - Street 1:101 EMERSON AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15215-3252
Mailing Address - Country:US
Mailing Address - Phone:412-963-1515
Mailing Address - Fax:
Practice Address - Street 1:101 EMERSON AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15215-3252
Practice Address - Country:US
Practice Address - Phone:412-963-1515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-23
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty