CENTRE ORAL & FACIAL SURGERY, P.C.
Surgery Yellow Pages
State College, Pennsylvania
Provider NPI: 1386692184
Organization Information:Organization Name: CENTRE ORAL & FACIAL SURGERY, P.C.
Practice Location:
474 WINDMERE DR SUITE 202 STATE COLLEGE, PA 16801 US
Tel: 814-235-7700 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
474 WINDMERE DR SUITE 202 STATE COLLEGE, PA 16801 US
Tel: 814-235-7700 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
X | 204E00000X | Physicians Oral & Maxillofacial Surgery | PA | MD073230L |
X | 1223S0112X | Dental Providers Dentist | PA | DS029616L |
X | 2082S0099X | Physicians Plastic Surgery | PA | MD073230L |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
HIGHMARK BLUE SHIELD | KE1304618 | PA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin