| Pa Oral Facial & Implant Surgery | |
|
90 Beaver Dr Suite 101a Du Bois PA 15801-2440 | |
| (814) 375-0500 | |
| (814) 375-0124 |
| Full Name | Pa Oral Facial & Implant Surgery |
|---|---|
| Speciality | Dentist |
| Location | 90 Beaver Dr, Du Bois, Pennsylvania |
| Authorized Official Name and Position | Barbara Spohn (OFFICE MANAGER) |
| Authorized Official Contact | 8143750500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pa Oral Facial & Implant Surgery 90 Beaver Dr Suite 101a Du Bois PA 15801-2440 Ph: (814) 375-0500 | Pa Oral Facial & Implant Surgery 90 Beaver Dr Suite 101a Du Bois PA 15801-2440 Ph: (814) 375-0500 |
| NPI Number | 1063801397 |
|---|---|
| Provider Enumeration Date | 01/09/2015 |
| Last Update Date | 01/09/2015 |
| Medicare PECOS PAC ID | 5991024663 |
|---|---|
| Medicare Enrollment ID | O20150430000657 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063801397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Jeffrey W Rice |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1710968995 PECOS PAC ID: 0840210365 Enrollment ID: I20051129000922 |
| Provider Name | Firas Alcheikh Ali |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1700040219 PECOS PAC ID: 0648308841 Enrollment ID: I20100510000098 |
| Provider Name | Joshua A Matonak |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1609141563 PECOS PAC ID: 4183926868 Enrollment ID: I20170905000311 |
J. Rice Oral Maxillofacial And Aesthetic Facial Surgery P.c. Dental Clinic Medicare: Medicare Enrolled Practice Location: 90 Beaver Dr, Du Bois, PA 15801 Phone: 814-375-0500 Fax: 814-375-0124 |