Reading Oral Surgery Group, Ltd | |
517 E Lancaster Ave Shillington PA 19607-1364 | |
(610) 777-7646 | |
(610) 777-7570 |
Full Name | Reading Oral Surgery Group, Ltd |
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Speciality | Dentist |
Location | 517 E Lancaster Ave, Shillington, Pennsylvania |
Authorized Official Name and Position | Paul R Farrell (DOCTOR) |
Authorized Official Contact | 6107777646 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Reading Oral Surgery Group, Ltd 517 E Lancaster Ave Shillington PA 19607-1364 Ph: (610) 777-7646 | Reading Oral Surgery Group, Ltd 517 E Lancaster Ave Shillington PA 19607-1364 Ph: (610) 777-7646 |
NPI Number | 1760581581 |
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Provider Enumeration Date | 09/21/2006 |
Last Update Date | 04/20/2008 |
Medicare PECOS PAC ID | 1052308970 |
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Medicare Enrollment ID | O20040430000412 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760581581 | NPI | - | NPPES |
0005247430001 | Medicaid | PA | |
039397 | Other | PA | HIGHMARK BLUE SHIELD |
02979300 | Other | PA | CAPITAL BLUE CROSS |
0005247430002 | Medicaid | PA | |
18602 | Other | PA | HEALTH AM/HEALTH ASSURANC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Provider Name | Paul R Farrell |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1396844247 PECOS PAC ID: 2668653916 Enrollment ID: I20110221000511 |