Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Omni Dental Shadyside Gps PLLC

Organization General Practice Dentistry · NPI 1104622679

Omni Dental Shadyside Gps PLLC is a General Practice Dentistry in Pittsburgh, Pennsylvania. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5813 Centre Ave
Pittsburgh, PA 15206-3709
Phone: (412) 912-4556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1104622679
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Hanlon — Owner · (412) 912-4556
NPI enumeratedFebruary 24, 2025
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025
Mailing address5813 Centre Ave, Pittsburgh, PA 15206-3709

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