| Allen Oral Surgery Associates P.c. | |
|
1251 S Cedar Crest Blvd Suite 310 Allentown PA 18103-6205 | |
| (610) 821-7021 | |
| (610) 821-9551 |
| Full Name | Allen Oral Surgery Associates P.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1251 S Cedar Crest Blvd, Allentown, Pennsylvania |
| Authorized Official Name and Position | Nicholas O. Prusack (PRESIDENT) |
| Authorized Official Contact | 6108218021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allen Oral Surgery Associates P.c. 1251 S Cedar Crest Blvd Suite 310 Allentown PA 18103-6205 Ph: (610) 821-7021 | Allen Oral Surgery Associates P.c. 1251 S Cedar Crest Blvd Suite 310 Allentown PA 18103-6205 Ph: (610) 821-7021 |
| NPI Number | 1760449425 |
|---|---|
| Provider Enumeration Date | 04/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760449425 | NPI | - | NPPES |
| 02355100 | Other | PA | CAPITOL BLUE CROSS |
| 2808 | Other | PA | DORAL DENTAL USA |
| 00520664 | Medicaid | PA | |
| 184132 | Other | PA | BLUE SHIELD |
| 2688 | Other | PA | DENTAL BENEFIT PROVIDERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS18393L (Pennsylvania) | Primary |
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