Oasis Oral Surgery Llc | |
9501 Roosevelt Blvd Suite 101 Philadelphia PA 19114-1025 | |
(215) 904-8951 | |
Not Available |
Full Name | Oasis Oral Surgery Llc |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 9501 Roosevelt Blvd, Philadelphia, Pennsylvania |
Authorized Official Name and Position | Bryant Jones (OWNER) |
Authorized Official Contact | 2159048951 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Oasis Oral Surgery Llc 9501 Roosevelt Blvd Suite 101 Philadelphia PA 19114-1025 Ph: (215) 904-8951 | Oasis Oral Surgery Llc 9501 Roosevelt Blvd Suite 101 Philadelphia PA 19114-1025 Ph: (215) 904-8951 |
NPI Number | 1023388196 |
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Provider Enumeration Date | 01/06/2012 |
Last Update Date | 01/19/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023388196 | NPI | - | NPPES |
102496758 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS038152 (Pennsylvania) | Primary |
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