Pocono Center For Oral, Facial & Implant Surgery is a dental clinic (Dentist - Oral And Maxillofacial Pathology) in Matamoras, Pennsylvania. The current practice location for Pocono Center For Oral, Facial & Implant Surgery is 16 Pennsylvania Ave, Matamoras, Pennsylvania. For appointments, you can reach them via phone at
(570) 491-4145. The mailing address for Pocono Center For Oral, Facial & Implant Surgery is Po Box 190, 16 Pennsylvania Ave, Matamoras, Pennsylvania and phone number is (570) 491-4145.
Pocono Center For Oral, Facial & Implant Surgery is licensed to practice in Pennsylvania (license number DS020813L) and its
NPI number is 1124222971. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(570) 491-4145.
Dental Care Clinic Profile
| Full Name | Pocono Center For Oral, Facial & Implant Surgery |
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| Speciality | Dentist - Oral And Maxillofacial Pathology |
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| Location | 16 Pennsylvania Ave, Matamoras, Pennsylvania |
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| Authorized Official Name and Position | Pamela Louise Alberto (PARTNER) |
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| Authorized Official Contact | 5704914145 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Pocono Center For Oral, Facial & Implant Surgery
Po Box 190
16 Pennsylvania Ave
Matamoras
PA 18336
Ph: (570) 491-4145 | Pocono Center For Oral, Facial & Implant Surgery
16 Pennsylvania Ave
Matamoras
PA 18336
Ph: (570) 491-4145 |
NPI Details:
| NPI Number | 1124222971 |
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| Provider Enumeration Date | 06/14/2007 |
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| Last Update Date | 09/01/2016 |
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Medical Identifiers
Medical identifiers for Pocono Center For Oral, Facial & Implant Surgery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124222971 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | DS035287 (Pennsylvania) | Secondary |
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | DS020813L (Pennsylvania) | Primary |
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | DS030426L (Pennsylvania) | Secondary |
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