| Oral And Facial Surgery | |
|
19414-b Leitersburg Pike Hagerstown MD 21742-7601 | |
| (301) 791-1700 | |
| (301) 791-9257 |
| Full Name | Oral And Facial Surgery |
|---|---|
| Speciality | Dentist |
| Location | 19414-b Leitersburg Pike, Hagerstown, Maryland |
| Authorized Official Name and Position | Richard Edward Kramer (PRESIDENT) |
| Authorized Official Contact | 3017911700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral And Facial Surgery 19414-b Leitersburg Pike Hagerstown MD 21742-7601 Ph: (301) 791-1700 | Oral And Facial Surgery 19414-b Leitersburg Pike Hagerstown MD 21742-7601 Ph: (301) 791-1700 |
| NPI Number | 1649264607 |
|---|---|
| Provider Enumeration Date | 09/07/2005 |
| Last Update Date | 11/23/2009 |
| Medicare PECOS PAC ID | 3779522230 |
|---|---|
| Medicare Enrollment ID | O20050426000142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649264607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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