Pottsville Oral Surgery, Pc in Pottsville - Oral And Maxillofacial Surgery
Pottsville Oral Surgery, Pc - NPI 1518975671
Pottsville Oral Surgery, Pc is a Oral And Maxillofacial Surgery in Pottsville, Pennsylvania. Pottsville Oral Surgery, Pc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Pottsville Oral Surgery, Pc is 1518975671. The last update date is 2017-06-30.
Pottsville Oral Surgery, Pc's current location address is 2257 W End Ave, Pottsville, Pennsylvania. You can contact this provider via phone number 5706229746 and fax number 5706223723. The mailing address for Pottsville Oral Surgery, Pc is 2257 W End Ave, Pottsville, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pottsville Oral Surgery, Pc |
|---|---|
| Address | 2257 W End Ave, Pottsville, Pennsylvania |
| Phone Number | 5706229746 |
| Fax Number | 5706223723 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Horowitz Jeffrey |
| Credentials | DDS,MD |
| Telephone Number | 5706229746 |
NPI Number Detail
| NPI Number | 1518975671 |
|---|---|
| Provider Enumeration Date | 2006-08-04 |
| Last Updated Date | 2017-06-30 |
Provider Mailing Address Detail
| Address | 2257 W End Ave |
|---|---|
| City | Pottsville |
| State | Pennsylvania (PA) |
| Post Code | 179011825 |
| Phone Number | 5706229746 |
| Fax Number | 5706223723 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | DS031220-L |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11013134 | PA | CAQH # | |
| 1649251570 | PA | NPI INDIVIDUAL |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Pottsville Oral Surgery, Pc by the Centers for Medicare & Medicaid Services?
The Pottsville Oral Surgery, Pc has been assigned the NPI (National Provider Identifier) 1518975671 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Pottsville Oral Surgery, Pc located?
The Pottsville Oral Surgery, Pc is located at 2257 W End Ave, Pottsville, PA 179011825.
What is Pottsville Oral Surgery, Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Pottsville Oral Surgery, Pc is Oral And Maxillofacial Surgery, and the corresponding taxonomy classification code for this specialized field is 1223S0112X.
On what date did the Pottsville Oral Surgery, Pc receive the assignment of its 1518975671 from the Centers for Medicare & Medicaid Services?
The Pottsville Oral Surgery, Pc was issued its 1518975671 by the Centers for Medicare & Medicaid Services on 2006-08-04.
As of what date were the Pottsville Oral Surgery, Pc's details last updated?
The information pertaining to the Pottsville Oral Surgery, Pc, including its address, specialty, and other details, was most recently updated on 2017-06-30.