| Lehigh Oral & Maxillofacial Surgery | |
|
1251 S Cedar Crest Blvd Allentown PA 18103-6205 | |
| (610) 435-6161 | |
| (610) 435-2902 |
| Full Name | Lehigh Oral & Maxillofacial Surgery |
|---|---|
| Speciality | Dentist |
| Location | 1251 S Cedar Crest Blvd, Allentown, Pennsylvania |
| Authorized Official Name and Position | David M Bender (PRESIDENT) |
| Authorized Official Contact | 6104356161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lehigh Oral & Maxillofacial Surgery 1251 S Cedar Crest Blvd Allentown PA 18103-6205 Ph: (610) 435-6161 | Lehigh Oral & Maxillofacial Surgery 1251 S Cedar Crest Blvd Allentown PA 18103-6205 Ph: (610) 435-6161 |
| NPI Number | 1710924071 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 01/26/2023 |
| Medicare PECOS PAC ID | 7810970688 |
|---|---|
| Medicare Enrollment ID | O20040611000597 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710924071 | NPI | - | NPPES |
| 162125 | Other | PA | HIGHMARK BLUE SHIELD |
| 02381200 | Other | CAPITAL BLUE CROSS GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (Pennsylvania) | Primary |
| Provider Name | Gregory Dimmich |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1831176056 PECOS PAC ID: 9931361615 Enrollment ID: I20120425000232 |
| Provider Name | Danielle I Holland |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1427499110 PECOS PAC ID: 6608180203 Enrollment ID: I20180712001935 |
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