Provider Demographics
NPI:1215064407
Name:DRS L P RUDOLPH & J E TIANO PC
Entity type:Organization
Organization Name:DRS L P RUDOLPH & J E TIANO PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:LANGELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-864-2888
Mailing Address - Street 1:524 ROUTE 30
Mailing Address - Street 2:TRW PROFESSIONAL BUILDING
Mailing Address - City:IRWIN
Mailing Address - State:PA
Mailing Address - Zip Code:15642-4567
Mailing Address - Country:US
Mailing Address - Phone:724-864-2888
Mailing Address - Fax:
Practice Address - Street 1:524 ROUTE 30
Practice Address - Street 2:TRW PROFESSIONAL BUILDING
Practice Address - City:IRWIN
Practice Address - State:PA
Practice Address - Zip Code:15642-4567
Practice Address - Country:US
Practice Address - Phone:724-864-2888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty