| Eagles Oral Surgery | |
|
5106 Allentown Pike Temple PA 19560-1212 | |
| (484) 773-1717 | |
| (484) 773-1717 |
| Full Name | Eagles Oral Surgery |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 5106 Allentown Pike, Temple, Pennsylvania |
| Authorized Official Name and Position | Megan Shank (QUALITY CONTROL MANAGER) |
| Authorized Official Contact | 6103726313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eagles Oral Surgery 1301 Penn Ave Wyomissing PA 19610-2140 Ph: (484) 773-1717 | Eagles Oral Surgery 5106 Allentown Pike Temple PA 19560-1212 Ph: (484) 773-1717 |
| NPI Number | 1104457191 |
|---|---|
| Provider Enumeration Date | 01/29/2020 |
| Last Update Date | 01/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104457191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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