Tri-county Oral-facial Surgeons, Pc | |
200 W Beaver Ave Suite 100 State College PA 16801 | |
(814) 238-0587 | |
(814) 238-3840 |
Full Name | Tri-county Oral-facial Surgeons, Pc |
---|---|
Speciality | Dentist |
Location | 200 W Beaver Ave, State College, Pennsylvania |
Authorized Official Name and Position | Stephen L Engroff (PRESIDENT) |
Authorized Official Contact | 8142380587 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Tri-county Oral-facial Surgeons, Pc 200 W Beaver Ave Suite 100 State College PA 16801 Ph: (814) 238-0587 | Tri-county Oral-facial Surgeons, Pc 200 W Beaver Ave Suite 100 State College PA 16801 Ph: (814) 238-0587 |
NPI Number | 1265479638 |
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Provider Enumeration Date | 06/02/2006 |
Last Update Date | 10/24/2022 |
Medicare PECOS PAC ID | 9436050911 |
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Medicare Enrollment ID | O20040116000998 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265479638 | NPI | - | NPPES |
50000663 | Other | CAPITAL BLUE CROSS | |
118029 | Other | HIGHMARK | |
1226 | Other | GEISINGER HEALTH PLAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0106X | Dentist - Oral And Maxillofacial Pathology | (* (Not Available)) | Secondary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Provider Name | Stephen L Engroff |
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Provider Type | Practitioner - Maxillofacial Surgery |
Provider Identifiers | NPI Number: 1366474314 PECOS PAC ID: 3577464056 Enrollment ID: I20040116000957 |
Provider Name | Michelle Fanning Hursh |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124395215 PECOS PAC ID: 8820351083 Enrollment ID: I20180423000232 |
Provider Name | Jeremy Joseph Hanlon |
---|---|
Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1881949766 PECOS PAC ID: 9032331517 Enrollment ID: I20230505001119 |
Campbell-pine,pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 E Beaver Ave, State College, PA 16801 Phone: 814-237-1751 Fax: 814-237-6069 | |
Cosmetic Dentistry Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Radnor Rd, Suite 200, State College, PA 16801 Phone: 814-238-2020 | |
David R. Curtis, D.m.d. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2601 Gateway Dr, Suite 200, State College, PA 16801 Phone: 814-237-2763 | |
Central Pennsylvania Endodontics, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 S Burrowes St, State College, PA 16801 Phone: 814-238-4400 | |
Sandhu Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 E Calder Way, State College, PA 16801 Phone: 814-234-8224 | |
Park Forest Dental,inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 434 W Aaron Dr Ste 101, State College, PA 16803 Phone: 814-238-4717 Fax: 814-238-4535 | |
Donald M Marks Dental Clinic Medicare: Medicare Enrolled Practice Location: 611 University Dr, State College, PA 16801 Phone: 814-234-0329 |