| Wyomissing Oral Surgical Assocs, Ltd | |
|
6 Hearthstone Ct Suite 301 Reading PA 19606-3065 | |
| (610) 370-2300 | |
| (610) 370-2303 |
| Full Name | Wyomissing Oral Surgical Assocs, Ltd |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 6 Hearthstone Ct, Reading, Pennsylvania |
| Authorized Official Name and Position | Arthur F Douglass (OWNER) |
| Authorized Official Contact | 6103702300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyomissing Oral Surgical Assocs, Ltd 6 Hearthstone Ct Suite 301 Reading PA 19606-3065 Ph: (610) 370-2300 | Wyomissing Oral Surgical Assocs, Ltd 6 Hearthstone Ct Suite 301 Reading PA 19606-3065 Ph: (610) 370-2300 |
| NPI Number | 1528024700 |
|---|---|
| Provider Enumeration Date | 04/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528024700 | NPI | - | NPPES |
| 0011843970002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS022591L (Pennsylvania) | Primary |
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