| Vineland Oral Surgeons Pa | |
|
1318 S Main Rd Bldg 4 Suite B Vineland NJ 08360-6516 | |
| (856) 692-8300 | |
| (856) 692-9229 |
| Full Name | Vineland Oral Surgeons Pa |
|---|---|
| Speciality | Dentist |
| Location | 1318 S Main Rd, Vineland, New Jersey |
| Authorized Official Name and Position | Lorraine G Williams (PRACTICE MANAGER) |
| Authorized Official Contact | 8566928300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vineland Oral Surgeons Pa 1318 S Main Rd Bldg 4 Suite B Vineland NJ 08360-6516 Ph: (856) 692-8300 | Vineland Oral Surgeons Pa 1318 S Main Rd Bldg 4 Suite B Vineland NJ 08360-6516 Ph: (856) 692-8300 |
| NPI Number | 1588729362 |
|---|---|
| Provider Enumeration Date | 12/22/2006 |
| Last Update Date | 08/22/2014 |
| Medicare PECOS PAC ID | 4082767595 |
|---|---|
| Medicare Enrollment ID | O20090731000198 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588729362 | NPI | - | NPPES |
| 2635607 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Leonard V Infranco |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1811988538 PECOS PAC ID: 2365486693 Enrollment ID: I20050616000832 |
| Provider Name | Michael C Palma |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1598986770 PECOS PAC ID: 3274677406 Enrollment ID: I20100225000393 |
| Provider Name | Domenic M Caprice |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1225069578 PECOS PAC ID: 2062565575 Enrollment ID: I20101104000547 |
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