| Oral And Maxillofacial Surgery Innovations, Llc | |
|
4700 Union Deposit Rd Suite 260 Harrisburg PA 17111-3774 | |
| (717) 909-3239 | |
| (717) 909-3242 |
| Full Name | Oral And Maxillofacial Surgery Innovations, Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 4700 Union Deposit Rd, Harrisburg, Pennsylvania |
| Authorized Official Name and Position | Larry Pepper (OWNER) |
| Authorized Official Contact | 7179090530 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral And Maxillofacial Surgery Innovations, Llc 4700 Union Deposit Rd Suite 260 Harrisburg PA 17111-3774 Ph: (717) 909-3239 | Oral And Maxillofacial Surgery Innovations, Llc 4700 Union Deposit Rd Suite 260 Harrisburg PA 17111-3774 Ph: (717) 909-3239 |
| NPI Number | 1225126428 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 07/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225126428 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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