| Oral Maxillofacial Surgery Of The Southern Tier, Pc | |
|
451 W Church St Elmira NY 14901-2636 | |
| (607) 733-3760 | |
| (607) 734-6000 |
| Full Name | Oral Maxillofacial Surgery Of The Southern Tier, Pc |
|---|---|
| Speciality | Dentist |
| Location | 451 W Church St, Elmira, New York |
| Authorized Official Name and Position | Matthew B Brown (SURGEON SECRETARY TREASURER) |
| Authorized Official Contact | 6077333760 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Maxillofacial Surgery Of The Southern Tier, Pc 451 W Church St Elmira NY 14901-2636 Ph: (607) 733-3760 | Oral Maxillofacial Surgery Of The Southern Tier, Pc 451 W Church St Elmira NY 14901-2636 Ph: (607) 733-3760 |
| NPI Number | 1205999380 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 11/08/2016 |
| Medicare PECOS PAC ID | 0547259459 |
|---|---|
| Medicare Enrollment ID | O20040506001639 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205999380 | NPI | - | NPPES |
| 1942299094 | Other | NY | NPI WILLIAM F. POCHAL |
| 1851381867 | Other | NY | NPI MATTHEW B. BROWN |
| 1780674796 | Other | NY | NPI DANIEL H. FARR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Daniel H Farr |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1780674796 PECOS PAC ID: 9436235876 Enrollment ID: I20080325000479 |
| Provider Name | Matthew B Brown |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1851381867 PECOS PAC ID: 5698764504 Enrollment ID: I20110106000272 |
| Provider Name | Harinderpal S Chahal |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1487742094 PECOS PAC ID: 5496856791 Enrollment ID: I20140219000764 |
Mark G. Schuller D.d.s.,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 W Water St, Elmira, NY 14905 Phone: 607-733-0830 Fax: 607-733-0830 | |
Anand Dental Health Services, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 County Road 64, Elmira, NY 14903 Phone: 607-739-4444 | |
Elmira Family Dentist Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 W Church St, Elmira, NY 14901 Phone: 607-734-8511 Fax: 607-734-6486 | |
Twin Tiers Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 West Water St, Elmira, NY 14905 Phone: 607-732-5190 | |
Alan J Seltzer Dmd Dental Associates Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 W Church St, Elmira, NY 14901 Phone: 607-733-6825 | |
Chemung Family Dental Pllc Dental Clinic Medicare: Medicare Enrolled Practice Location: 1007 Broadway St, Elmira, NY 14904 Phone: 607-734-2045 Fax: 607-734-6103 |