QUAD COUNTY ORAL & MAXILLOFACIAL SURGERY
Surgery Yellow Pages
Butler, Pennsylvania
Provider NPI: 1033283841
Organization Information:Organization Name: QUAD COUNTY ORAL & MAXILLOFACIAL SURGERY
Practice Location:
114 EAST DIMOND ST BUTLER, PA 16001 US
Tel: 724-282-6100 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:
114 EAST DIMOND ST BUTLER, PA 16001 US
Tel: 724-282-6100 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 204E00000X | Physicians Oral & Maxillofacial Surgery | PA | DS029596L |
N | 204E00000X | Physicians Oral & Maxillofacial Surgery | PA | DS019428L |
Y | 204E00000X | Physicians Oral & Maxillofacial Surgery | PA | DS020150L |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
UNITED CONCORDIA | QU889312 | 01 | |
HIGHMARK | QU889312 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin