Stephen L Engroff in State College - Oral And Maxillofacial Pathology

Stephen L Engroff - NPI 1366474314

Stephen L Engroff is a Oral And Maxillofacial Pathology in State College, Pennsylvania. Stephen L Engroff practices all healthcare services and medical treatments related to Oral And Maxillofacial Pathology. The NPI Number for Stephen L Engroff is 1366474314. The last update date is 2023-09-12.

Stephen L Engroff's current location address is 200 W Beaver Ave Ste 100, State College, Pennsylvania. You can contact this provider via phone number 8142380587 and fax number 8142383840. The mailing address for Stephen L Engroff is 200 W Beaver Ave Ste 100, State College, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen L Engroff
Address 200 W Beaver Ave Ste 100, State College, Pennsylvania
Phone Number 8142380587
Fax Number 8142383840
Sole Proprietor N
Credentials MD DDS

NPI Number Detail

NPI Number 1366474314
Provider Enumeration Date 2006-07-07
Last Updated Date 2023-09-12

Provider Mailing Address Detail

Address 200 W Beaver Ave Ste 100
City State College
State Pennsylvania (PA)
Post Code 168014820
Phone Number 8142380587
Fax Number 8142383840

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Pathology
Taxonomy 1223P0106X
Licence No DS035655
Definition:
The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
79677 GEISINGER HEALTH PLAN
EN1480132 HIGHMARK

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FAQs about Stephen L Engroff

What is the Stephen L Engroff's unique identification number?

The Stephen L Engroff has been assigned the NPI (National Provider Identifier) Number 1366474314 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Stephen L Engroff's facilities are situated?

The facilities of Stephen L Engroff are physically located at the following address: 200 W Beaver Ave Ste 100, State College, PA, 168014820.

What is Stephen L Engroff's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Stephen L Engroff is Oral And Maxillofacial Pathology, and the taxonomy classification code that categorizes this area of expertise is 1223P0106X.

On what date did the Stephen L Engroff receive its 1366474314 assignment from the Centers for Medicare & Medicaid Services?

The Stephen L Engroff was assigned its 1366474314 by the Centers for Medicare & Medicaid Services on 2006-07-07.

As of what date was the information regarding Stephen L Engroff, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Stephen L Engroff, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-09-12.

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