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Central Pa Oral And Maxillofacial Surgeons
Oral and Maxillofacial Surgery (Dentist) in Harrisburg, Pennsylvania
NPI 1588625628

Central Pa Oral And Maxillofacial Surgeons is a Oral and Maxillofacial Surgery (Dentist) based in Harrisburg, PA and is specialized in Oral and Maxillofacial Surgery. Central Pa Oral And Maxillofacial Surgeons practices in Harrisburg, PA. The NPI Number for Central Pa Oral And Maxillofacial Surgeons is 1588625628 and holds a License No. DS020467L (Pennsylvania).

The current practice location address for Central Pa Oral And Maxillofacial Surgeons is 4700 Union Deposit Rd, Harrisburg, PA and can be reached out via phone at 717-540-1777 and via fax at 717-540-6857.

Location: 4700 Union Deposit Rd, Harrisburg, PA, 17111-3774
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588625628
Provider Name
Central Pa Oral And Maxillofacial Surgeons
Credential
Provider Entity Type
Organization
Address
4700 Union Deposit Rd, Harrisburg, PA, 17111-3774
Phone Number
717-540-1777
Fax Number
717-540-6857
Provider Enumeration Date
03/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
484988 01 PA AETNA PROVIDER NUMBER
02438800 01 PA CB PROVIDER ID NUMBER
institution
Provider Business Practice Location Address Details
Address
4700 Union Deposit Rd
City
Harrisburg
State
Pennsylvania
Zip
17111-3774
Phone Number
717-540-1777
Fax Number
717-540-6857
person
Provider Business Mailing Address Details
Address
4700 Union Deposit Rd
City
Harrisburg
State
Pennsylvania
Zip
17111-3774
Phone Number
717-540-1777
Fax Number
717-540-6857
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DS020467L (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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