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Pottsville Oral Surgery, Pc
Oral and Maxillofacial Surgery (Dentist) in Pottsville, Pennsylvania
NPI 1518975671

Pottsville Oral Surgery, Pc is a Oral and Maxillofacial Surgery (Dentist) based in Pottsville, PA and is specialized in Oral and Maxillofacial Surgery. Pottsville Oral Surgery, Pc practices in Pottsville, PA. The NPI Number for Pottsville Oral Surgery, Pc is 1518975671 and holds a License No. DS031220-L (Pennsylvania).

The current practice location address for Pottsville Oral Surgery, Pc is 2257 W End Ave, Pottsville, PA and can be reached out via phone at 570-622-9746 and via fax at 570-622-3723.

Location: 2257 W End Ave, Pottsville, PA, 17901-1825
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1518975671
Provider Name
Pottsville Oral Surgery, Pc
Credential
Provider Entity Type
Organization
Address
2257 W End Ave, Pottsville, PA, 17901-1825
Phone Number
570-622-9746
Fax Number
570-622-3723
Provider Enumeration Date
08/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11013134 01 PA CAQH #
1649251570 01 PA NPI INDIVIDUAL
institution
Provider Business Practice Location Address Details
Address
2257 W End Ave
City
Pottsville
State
Pennsylvania
Zip
17901-1825
Phone Number
570-622-9746
Fax Number
570-622-3723
person
Provider Business Mailing Address Details
Address
2257 W End Ave
City
Pottsville
State
Pennsylvania
Zip
17901-1825
Phone Number
570-622-9746
Fax Number
570-622-3723
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DS031220-L (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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