| Elevated Oral & Implant Surgery, P.c. | |
|
1131 Boyce Rd Suite A Upper St Clair PA 15241-3927 | |
| (724) 260-5009 | |
| (724) 299-3154 |
| Full Name | Elevated Oral & Implant Surgery, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 1131 Boyce Rd, Upper St Clair, Pennsylvania |
| Authorized Official Name and Position | Meghan Deisroth Barroner (PRESIDENT, OWNER) |
| Authorized Official Contact | 7242605009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevated Oral & Implant Surgery, P.c. 1131 Boyce Rd Suite A Upper St Clair PA 15241-3927 Ph: (724) 260-5009 | Elevated Oral & Implant Surgery, P.c. 1131 Boyce Rd Suite A Upper St Clair PA 15241-3927 Ph: (724) 260-5009 |
| NPI Number | 1053861799 |
|---|---|
| Provider Enumeration Date | 10/05/2016 |
| Last Update Date | 04/04/2024 |
| Medicare PECOS PAC ID | 4789968793 |
|---|---|
| Medicare Enrollment ID | O20170310000447 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053861799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| 207L00000X | Anesthesiology | (* (Not Available)) | Secondary |
| Provider Name | Meghan D Barroner |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1366670556 PECOS PAC ID: 0648592899 Enrollment ID: I20141125002175 |
William J Katsur, Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 61 Mcmurray Rd, Suite 100a, Upper St Clair, PA 15241 Phone: 412-831-9910 Fax: 412-831-9962 |