| Dr Jeremy Joseph Hanlon, DMD | |
|
200 W Beaver Ave Ste 100, State College, PA 16801-4820 | |
| (800) 446-5680 | |
| Not Available |
| Full Name | Dr Jeremy Joseph Hanlon |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 200 W Beaver Ave Ste 100, State College, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881949766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DS039115 (Pennsylvania) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS039115 (Pennsylvania) | Primary |
| Entity Name | Tri-county Oral-facial Surgeons Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265479638 PECOS PAC ID: 9436050911 Enrollment ID: O20040116000998 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeremy Joseph Hanlon, DMD 200 W Beaver Ave Ste 100, State College, PA 16801-4820 Ph: (800) 446-5680 | Dr Jeremy Joseph Hanlon, DMD 200 W Beaver Ave Ste 100, State College, PA 16801-4820 Ph: (800) 446-5680 |
Dr. Ben Graham Williams, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 432 Rolling Ridge Dr, Suite 1, State College, PA 16801 Phone: 814-237-1777 Fax: 814-237-5245 | |
Aaron Thomas Roan, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2590 Park Center Blvd Ste 100, State College, PA 16801 Phone: 814-234-6826 Fax: 814-234-2497 | |
Dr. Steven Fishbaine, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 476 Rolling Ridge Dr, Suite 110, State College, PA 16801 Phone: 814-238-6800 Fax: 814-238-0068 | |
Derrill C. Finch, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1315 S Allen St, State College, PA 16801 Phone: 814-238-4090 Fax: 814-234-8540 | |
Donald W Wells, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 110 Regent Ct, State College, PA 16801 Phone: 814-234-2428 Fax: 814-231-0110 | |
Dr. Ginger Marlene Grieco, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3943 South Atherton Street, State College, PA 16801 Phone: 814-466-7944 Fax: 814-466-7332 | |
Dr. Kevin Michael Conklin, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2014 Sandy Dr, State College, PA 16803 Phone: 814-574-6324 |