Provider Demographics
NPI:1689754681
Name:ANTHONY TRAFICANTE PC,
Entity type:Organization
Organization Name:ANTHONY TRAFICANTE PC,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAFICANTE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:412-242-3664
Mailing Address - Street 1:133 JEFFERSON RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-3718
Mailing Address - Country:US
Mailing Address - Phone:412-242-3664
Mailing Address - Fax:412-242-7014
Practice Address - Street 1:133 JEFFERSON RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-3718
Practice Address - Country:US
Practice Address - Phone:412-242-3664
Practice Address - Fax:412-242-7014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty