| Keystone Oral Surgery Associates Pc | |
|
30 Baldwin Blvd Ste 95 Shamokin Dam PA 17876-9520 | |
| (570) 884-8321 | |
| (570) 256-1772 |
| Full Name | Keystone Oral Surgery Associates Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 30 Baldwin Blvd Ste 95, Shamokin Dam, Pennsylvania |
| Authorized Official Name and Position | Pranathi Reddy (PRESIDENT) |
| Authorized Official Contact | 5708848321 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Oral Surgery Associates Pc 78 Windsor Rd Belle Mead NJ 08502-5851 Ph: (267) 809-2364 | Keystone Oral Surgery Associates Pc 30 Baldwin Blvd Ste 95 Shamokin Dam PA 17876-9520 Ph: (570) 884-8321 |
| NPI Number | 1518670165 |
|---|---|
| Provider Enumeration Date | 12/28/2022 |
| Last Update Date | 02/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518670165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Merit Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 21 Baldwin Blvd, Shamokin Dam, PA 17876 Phone: 570-743-3300 Fax: 570-743-7555 |