Stephen L Engroff in State College - Oral And Maxillofacial Surgery
Stephen L Engroff - NPI 1366474314
Stephen L Engroff is a Oral And Maxillofacial Surgery in State College, Pennsylvania. Stephen L Engroff practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. 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 |
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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 |
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Provider Enumeration Date | 2006-07-07 |
Last Updated Date | 2023-09-12 |
Provider Mailing Address Detail
Address | 200 W Beaver Ave Ste 100 |
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City | State College |
State | Pennsylvania (PA) |
Post Code | 168014820 |
Phone Number | 8142380587 |
Fax Number | 8142383840 |
Provider's Primary Taxonomy Detail
Speciality | Oral And Maxillofacial Surgery |
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Taxonomy | 1223S0112X |
Licence No | DS035655 |
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 |
---|---|---|---|
79677 | GEISINGER HEALTH PLAN | ||
EN1480132 | HIGHMARK |
Post Comment/ Review Below
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 Surgery, and the taxonomy classification code that categorizes this area of expertise is 1223S0112X.
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.