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Keystone Omfs Pc
Oral and Maxillofacial Surgery (Dentist) in Williamsport, Pennsylvania
NPI 1275905929

Keystone Omfs Pc is a Oral and Maxillofacial Surgery (Dentist) based in Williamsport, PA and is specialized in Oral and Maxillofacial Surgery. Keystone Omfs Pc practices in Williamsport, PA. The NPI Number for Keystone Omfs Pc is 1275905929 and holds a License No. DS029213L (Pennsylvania).

The current practice location address for Keystone Omfs Pc is 1701 Four Mile Dr, Williamsport, PA and can be reached out via phone at 570-323-1900 and via fax at 570-323-6079.

Location: 1701 Four Mile Dr, Williamsport, PA, 17701-1940
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275905929
Provider Name
Keystone Omfs Pc
Credential
Provider Entity Type
Organization
Address
1701 Four Mile Dr, Williamsport, PA, 17701-1940
Phone Number
570-323-1900
Fax Number
570-323-6079
Provider Enumeration Date
10/21/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1699852137 01 PA NPI TYPE 1
institution
Provider Business Practice Location Address Details
Address
1701 Four Mile Dr
City
Williamsport
State
Pennsylvania
Zip
17701-1940
Phone Number
570-323-1900
Fax Number
570-323-6079
person
Provider Business Mailing Address Details
Address
1701 Four Mile Dr
City
Williamsport
State
Pennsylvania
Zip
17701-1940
Phone Number
570-323-1900
Fax Number
570-323-6079
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DS029213L (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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