Oral And Maxillofacial Surgery, Ltd. | |
31 N Maple Ave Greensburg PA 15601-2503 | |
(724) 837-7770 | |
(724) 838-7731 |
Full Name | Oral And Maxillofacial Surgery, Ltd. |
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Speciality | Dentist |
Location | 31 N Maple Ave, Greensburg, Pennsylvania |
Authorized Official Name and Position | Robert W Queale (PRESIDENT) |
Authorized Official Contact | 7248377770 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Oral And Maxillofacial Surgery, Ltd. 31 N Maple Ave Greensburg PA 15601-2503 Ph: (724) 837-7770 | Oral And Maxillofacial Surgery, Ltd. 31 N Maple Ave Greensburg PA 15601-2503 Ph: (724) 837-7770 |
NPI Number | 1629020771 |
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Provider Enumeration Date | 05/17/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 7012968217 |
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Medicare Enrollment ID | O20050204000430 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629020771 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Provider Name | Michael J Buckley |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1154302859 PECOS PAC ID: 0941251136 Enrollment ID: I20050204000411 |
Provider Name | Robert W Queale |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1801877006 PECOS PAC ID: 5890749626 Enrollment ID: I20050517000314 |
Provider Name | Eric R Strayer |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1891131876 PECOS PAC ID: 8729335237 Enrollment ID: I20180716000119 |
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