Provider Demographics
NPI:1720747231
Name:BUFALINI PEDIATRIC DENTISTRY, PC
Entity type:Organization
Organization Name:BUFALINI PEDIATRIC DENTISTRY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PEDIATRIC DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUFALINI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:412-877-3608
Mailing Address - Street 1:5 BAYARD RD APT 116
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-1904
Mailing Address - Country:US
Mailing Address - Phone:412-877-3608
Mailing Address - Fax:
Practice Address - Street 1:300 WEYMAN RD STE 480
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-1520
Practice Address - Country:US
Practice Address - Phone:412-877-3608
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-12
Last Update Date:2021-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty