Owen Leighton Poling, D.M.D.
Dentist, General Practice in Pittsburgh, PA. Individual provider (NPI-1).
NPI number1689415341
StatusActive
Last updated in NPPESJun 29, 2025
Details
- NPI
- 1689415341
- Entity type
- Individual (NPI-1)
- Name
- Owen Leighton Poling
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 5, 2024
- Certification date
- Jun 29, 2025
- Last updated
- Jun 29, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | DS044984 | PA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1201 Broughton Rd # 200Pittsburgh, PA 15236-3451
Phone 412-655-2172
Mailing address
1201 Broughton Rd # 200Pittsburgh, PA 15236-3451
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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