| Ban Oral And Facial Surgical Associates Llc | |
|
4725 Mcknight Rd Ste 209 Pittsburgh PA 15237-3414 | |
| (412) 367-3020 | |
| (412) 367-5940 |
| Full Name | Ban Oral And Facial Surgical Associates Llc |
|---|---|
| Speciality | Dentist |
| Location | 4725 Mcknight Rd Ste 209, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Laurie D. Frank (OFFICE MANAGER) |
| Authorized Official Contact | 4123673020 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ban Oral And Facial Surgical Associates Llc 4725 Mcknight Rd Ste 209 Pittsburgh PA 15237-3414 Ph: (412) 367-3020 | Ban Oral And Facial Surgical Associates Llc 4725 Mcknight Rd Ste 209 Pittsburgh PA 15237-3414 Ph: (412) 367-3020 |
| NPI Number | 1073093233 |
|---|---|
| Provider Enumeration Date | 08/17/2018 |
| Last Update Date | 08/17/2018 |
| Medicare PECOS PAC ID | 2961747548 |
|---|---|
| Medicare Enrollment ID | O20181231001503 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073093233 | NPI | - | NPPES |
| 1034343930001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS022496L (Pennsylvania) | Primary |
| Provider Name | Michael K Ban |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1962482562 PECOS PAC ID: 4688839715 Enrollment ID: I20120622000380 |
| Provider Name | Christopher M Ban |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1184990467 PECOS PAC ID: 6507005261 Enrollment ID: I20160712000110 |
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