Keystone Oral Surgery Associates PC
Dentist, Oral and Maxillofacial Surgery in Shamokin Dam, Pennsylvania
1518670165- Practice location
- 30 Baldwin Blvd Ste 95, Shamokin Dam, PA 17876-9520
- Phone
- 570-884-8321
- Fax
- 570-256-1772
- Last updated
- February 5, 2023
Keystone Oral Surgery Associates PC is a healthcare organization based in Shamokin Dam, PA. Keystone Oral Surgery Associates PC practices in Shamokin Dam, PA. The NPI Number for Keystone Oral Surgery Associates PC is 1518670165. The current practice location address for Keystone Oral Surgery Associates PC is 30 Baldwin Blvd Ste 95, Shamokin Dam, PA 17876-9520 and can be reached out via phone at 570-884-8321 and via fax at 570-256-1772.
Provider Profile Details
- NPI Number
- 1518670165
- Provider Name
- Keystone Oral Surgery Associates PC
- Provider Entity Type
- Organization
- Address
- 30 Baldwin Blvd Ste 95, Shamokin Dam, PA 17876-9520
- Phone Number
- 570-884-8321
- Fax Number
- 570-256-1772
- Primary Taxonomy
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X
- Organization Subpart
- No
- Authorized Official
- Dr. Pranathi Reddy, DDS · President · 570-884-8321
- Provider Enumeration Date
- December 28, 2022
- Last Update Date
- February 5, 2023
- Certification Date
- February 5, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 30 Baldwin Blvd Ste 95
Shamokin Dam, PA 17876-9520 - City
- Shamokin Dam
- State
- Pennsylvania
- Zip
- 17876-9520
- Phone Number
- 570-884-8321
- Fax Number
- 570-256-1772
Provider Business Mailing Address Details
- Address
- 78 Windsor RD
Belle Mead, NJ 08502-5851 - City
- Belle Mead
- State
- NJ
- Zip
- 08502-5851
- Phone Number
- 267-809-2364
License Information
- Taxonomy
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Oral and Maxillofacial Surgery providers near Shamokin Dam, PA
View all Dentist, Oral and Maxillofacial Surgery providers in Shamokin Dam →Frequently Asked Questions
What is the NPI number of Keystone Oral Surgery Associates PC?
The NPI number of Keystone Oral Surgery Associates PC is 1518670165. It was assigned on December 28, 2022 and is currently active in the NPPES registry.
What is the specialty of Keystone Oral Surgery Associates PC?
Keystone Oral Surgery Associates PC is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X).
Where does Keystone Oral Surgery Associates PC practice?
The practice location is 30 Baldwin Blvd Ste 95, Shamokin Dam, PA 17876-9520. The office can be reached at 570-884-8321 (phone) or 570-256-1772 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518670165 directly on the NPPES registry website.