| Campus Oral & Maxillofacial Surgery, P.c. | |
|
1000 Rohrerstown Road Lancaster PA 17601-2644 | |
| (717) 519-5297 | |
| (717) 519-5290 |
| Full Name | Campus Oral & Maxillofacial Surgery, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 1000 Rohrerstown Road, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Eric M. Katch (PRESIDENT) |
| Authorized Official Contact | 7175195297 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Campus Oral & Maxillofacial Surgery, P.c. 1000 Rohrerstown Road Lancaster PA 17601-2644 Ph: (717) 519-5297 | Campus Oral & Maxillofacial Surgery, P.c. 1000 Rohrerstown Road Lancaster PA 17601-2644 Ph: (717) 519-5297 |
| NPI Number | 1093873465 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 11/09/2011 |
| Medicare PECOS PAC ID | 9234100074 |
|---|---|
| Medicare Enrollment ID | O20040804000914 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093873465 | NPI | - | NPPES |
| 0016853820001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | (* (Not Available)) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
| Provider Name | Eric M Katch |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1891724761 PECOS PAC ID: 5799721858 Enrollment ID: I20050629000774 |
| Provider Name | Maxwell C Adams |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1043249915 PECOS PAC ID: 6608992706 Enrollment ID: I20100927000592 |
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