Provider Demographics
NPI:1730182734
Name:HARTSTEIN, ALAN JAY (DDS)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:JAY
Last Name:HARTSTEIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6300 FORWARD AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-2503
Mailing Address - Country:US
Mailing Address - Phone:412-421-4324
Mailing Address - Fax:
Practice Address - Street 1:6300 FORWARD AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-2503
Practice Address - Country:US
Practice Address - Phone:412-421-4324
Practice Address - Fax:412-421-1139
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS022510-L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice