Gary Edward Koterwas in Hagerstown - Oral And Maxillofacial Surgery
Gary Edward Koterwas - NPI 1558355529
Gary Edward Koterwas is a Oral And Maxillofacial Surgery in Hagerstown, Maryland. Gary Edward Koterwas practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Gary Edward Koterwas is 1558355529. The last update date is 2007-07-08.
Gary Edward Koterwas's current location address is 19414 Leitersburg Pike, Hagerstown, Maryland. You can contact this provider via phone number 3017911700 and fax number 3017919257. The mailing address for Gary Edward Koterwas is 19414 Leitersburg Pike, Hagerstown, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Edward Koterwas |
|---|---|
| Address | 19414 Leitersburg Pike, Hagerstown, Maryland |
| Phone Number | 3017911700 |
| Fax Number | 3017919257 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1558355529 |
|---|---|
| Provider Enumeration Date | 2005-09-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 19414 Leitersburg Pike |
|---|---|
| City | Hagerstown |
| State | Maryland (MD) |
| Post Code | 217427601 |
| Phone Number | 3017911700 |
| Fax Number | 3017919257 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 11375 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gary Edward Koterwas by the Centers for Medicare & Medicaid Services?
The Gary Edward Koterwas has been issued the NPI (National Provider Identifier) 1558355529 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Gary Edward Koterwas located?
The Gary Edward Koterwas is located at 19414 Leitersburg Pike, Hagerstown, MD 217427601.
What is the Gary Edward Koterwas's specialty and taxonomy code?
The Gary Edward Koterwas's specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 1223S0112X.
On what date did the Gary Edward Koterwas receive its 1558355529 assignment from the Centers for Medicare & Medicaid Services?
The Gary Edward Koterwas was assigned its 1558355529 by the Centers for Medicare & Medicaid Services on 2005-09-07.
As of what date was the information regarding Gary Edward Koterwas, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gary Edward Koterwas, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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