| Bvoms | |
|
5279 Lincoln Hwy Gap PA 17527-9427 | |
| (717) 442-9537 | |
| (717) 442-8311 |
| Full Name | Bvoms |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 5279 Lincoln Hwy, Gap, Pennsylvania |
| Authorized Official Name and Position | Robert D Whitley (OWNER/DOCTOR) |
| Authorized Official Contact | 7174429537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bvoms 5279 Lincoln Hwy Gap PA 17527-9427 Ph: (717) 442-9537 | Bvoms 5279 Lincoln Hwy Gap PA 17527-9427 Ph: (717) 442-9537 |
| NPI Number | 1568563088 |
|---|---|
| Provider Enumeration Date | 09/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568563088 | NPI | - | NPPES |
| 200631 | Other | PA | KEYSTONE CENTRAL |
| 0132579000 | Other | PA | KEYSTONE EAST |
| 02628400 | Other | PA | CAPITAL BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | () | Primary |
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