Provider Demographics
NPI:1871374421
Name:BSO DENTAL PLLC
Entity type:Organization
Organization Name:BSO DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:BELSTERLING
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:412-527-9243
Mailing Address - Street 1:908 N SAINT CLAIR ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15206-2134
Mailing Address - Country:US
Mailing Address - Phone:412-527-9243
Mailing Address - Fax:
Practice Address - Street 1:4154 OLD WILLIAM PENN HWY STE 200
Practice Address - Street 2:
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15668-1942
Practice Address - Country:US
Practice Address - Phone:724-733-2122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1548377278OtherNPPES