Provider Demographics
NPI:1053349217
Name:GIARRUSSO, ELAINE (DMD)
Entity type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:
Last Name:GIARRUSSO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1910 COCHRAN RD
Mailing Address - Street 2:SUITE 910
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15220-1203
Mailing Address - Country:US
Mailing Address - Phone:412-440-0344
Mailing Address - Fax:412-440-0344
Practice Address - Street 1:1910 COCHRAN RD
Practice Address - Street 2:SUITE 910
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15220-1203
Practice Address - Country:US
Practice Address - Phone:412-440-0344
Practice Address - Fax:412-440-0342
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS021426L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice