| Lititz Oral Surgery | |
|
1575 Highlands Dr Ste 106 Lititz PA 17543-7507 | |
| (717) 627-2299 | |
| (717) 627-4330 |
| Full Name | Lititz Oral Surgery |
|---|---|
| Speciality | Oral & Maxillofacial Surgery |
| Location | 1575 Highlands Dr Ste 106, Lititz, Pennsylvania |
| Authorized Official Name and Position | Siobhan Mcmichael (PRACTICE ADMIN) |
| Authorized Official Contact | 7176272299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lititz Oral Surgery 1575 Highlands Dr Ste 106 Lititz PA 17543-7507 Ph: (717) 627-2299 | Lititz Oral Surgery 1575 Highlands Dr Ste 106 Lititz PA 17543-7507 Ph: (717) 627-2299 |
| NPI Number | 1861585861 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 09/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861585861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS028494L (Pennsylvania) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | DS028494L (Pennsylvania) | Primary |
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