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Miriam Caroline Omalley, DMD
Oral and Maxillofacial Surgery (Dentist) in Kingston, Pennsylvania
NPI 1154419042

Miriam Caroline Omalley is a Oral and Maxillofacial Surgery (Dentist) based in Kingston, PA and is specialized in Oral and Maxillofacial Surgery. Miriam Caroline Omalley practices in Kingston, PA and has the professional credentials of DMD. The NPI Number for Miriam Caroline Omalley is 1154419042 and holds a License No. 027676L (Pennsylvania).

The current practice location address for Miriam Caroline Omalley is 550 3Rd Ave, Kingston, PA and can be reached out via phone at 570-288-9070 and via fax at 570-288-4201. You can also correspond with Miriam Caroline Omalley through the mailing address at 550 3RD AVE, KINGSTON, PA - 18704-5806 (mailing address contact number: 570-288-9070).

Location: 550 3Rd Ave, Kingston, PA, 18704-5806
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154419042
Provider Name
Miriam Caroline Omalley
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
550 3Rd Ave, Kingston, PA, 18704-5806
Phone Number
570-288-9070
Fax Number
570-288-4201
Provider Enumeration Date
10/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01696297 05 PA
institution
Provider Business Practice Location Address Details
Address
550 3Rd Ave
City
Kingston
State
Pennsylvania
Zip
18704-5806
Phone Number
570-288-9070
Fax Number
570-288-4201
person
Provider Business Mailing Address Details
Address
550 3Rd Ave
City
Kingston
State
Pennsylvania
Zip
18704-5806
Phone Number
570-288-9070
Fax Number
570-288-4201
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
027676L (Pennsylvania)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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