Centre Oral & Facial Surgery, P.C. in Pine Grove Mills - Plastic Surgery Within The Head And Neck

Centre Oral & Facial Surgery, P.C. - NPI 1386692184

Centre Oral & Facial Surgery, P.C. is a Plastic Surgery Within The Head And Neck in Pine Grove Mills, Pennsylvania. Centre Oral & Facial Surgery, P.C. practices all healthcare services and medical treatments related to Plastic Surgery Within The Head And Neck. The NPI Number for Centre Oral & Facial Surgery, P.C. is 1386692184. The last update date is 2020-08-22.

Centre Oral & Facial Surgery, P.C.'s current location address is Po Box 626, Pine Grove Mills, Pennsylvania. You can contact this provider via phone number 8142357700 and fax number 8142357633. The mailing address for Centre Oral & Facial Surgery, P.C. is Po Box 626, Pine Grove Mills, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Organization Centre Oral & Facial Surgery, P.C.
Address Po Box 626, Pine Grove Mills, Pennsylvania
Phone Number 8142357700
Fax Number 8142357633
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Kewitt F Gregory
Credentials MD, DMD
Telephone Number 8142357700

NPI Number Detail

NPI Number 1386692184
Provider Enumeration Date 2006-05-04
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address Po Box 626
City Pine Grove Mills
State Pennsylvania (PA)
Post Code 168680626
Phone Number 8142357700
Fax Number 8142357633

Provider's Primary Taxonomy Detail

Speciality Plastic Surgery Within The Head And Neck
Taxonomy 2082S0099X
Licence No MD073230L
Definition:
A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
KE1304618 PA HIGHMARK BLUE SHIELD

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FAQs about Centre Oral & Facial Surgery, P.C.

What is the unique 10-digit identifier code assigned to Centre Oral & Facial Surgery, P.C. by the Centers for Medicare & Medicaid Services?

The Centre Oral & Facial Surgery, P.C. has been issued the NPI (National Provider Identifier) 1386692184 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Centre Oral & Facial Surgery, P.C. is physically located?

The Centre Oral & Facial Surgery, P.C. is physically situated at the following address: Po Box 626, Pine Grove Mills, PA, 168680626.

What is Centre Oral & Facial Surgery, P.C.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Centre Oral & Facial Surgery, P.C. is Plastic Surgery Within The Head And Neck, and the taxonomy code that classifies this field of practice is 2082S0099X.

On what date did the Centers for Medicare & Medicaid Services issue the 1386692184 to Centre Oral & Facial Surgery, P.C.?

The Centre Oral & Facial Surgery, P.C. received its 1386692184 assignment from the Centers for Medicare & Medicaid Services on 2006-05-04.

As of what date was the information regarding Centre Oral & Facial Surgery, P.C., such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Centre Oral & Facial Surgery, P.C., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.

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