| Central Pa Oral And Maxillofacial Surgeons | |
|
4700 Union Deposit Rd Suite 260 Harrisburg PA 17111-3774 | |
| (717) 540-1777 | |
| (717) 540-6857 |
| Full Name | Central Pa Oral And Maxillofacial Surgeons |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4700 Union Deposit Rd, Harrisburg, Pennsylvania |
| Authorized Official Name and Position | Tammi Hammaker (FINANCIAL/INSURANCE MANAGER) |
| Authorized Official Contact | 7179093239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Pa Oral And Maxillofacial Surgeons 4700 Union Deposit Rd Suite 260 Harrisburg PA 17111-3774 Ph: (717) 540-1777 | Central Pa Oral And Maxillofacial Surgeons 4700 Union Deposit Rd Suite 260 Harrisburg PA 17111-3774 Ph: (717) 540-1777 |
| NPI Number | 1588625628 |
|---|---|
| Provider Enumeration Date | 03/29/2006 |
| Last Update Date | 08/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588625628 | NPI | - | NPPES |
| 484988 | Other | PA | AETNA PROVIDER NUMBER |
| 02438800 | Other | PA | CB PROVIDER ID NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS020467L (Pennsylvania) | Primary |
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