| Oral Surgery Associates Of Central Pennsylvania, Pc | |
|
901 S Logan Blvd Hollidaysburg PA 16648-3035 | |
| (814) 944-2802 | |
| Not Available |
| Full Name | Oral Surgery Associates Of Central Pennsylvania, Pc |
|---|---|
| Speciality | Dentist |
| Location | 901 S Logan Blvd, Hollidaysburg, Pennsylvania |
| Authorized Official Name and Position | Annette C Patterson (PRESIDENT) |
| Authorized Official Contact | 8146964831 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgery Associates Of Central Pennsylvania, Pc 901 S Logan Blvd Hollidaysburg PA 16648-3035 Ph: (814) 944-2802 | Oral Surgery Associates Of Central Pennsylvania, Pc 901 S Logan Blvd Hollidaysburg PA 16648-3035 Ph: (814) 944-2802 |
| NPI Number | 1194750380 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 05/12/2017 |
| Medicare PECOS PAC ID | 7911951736 |
|---|---|
| Medicare Enrollment ID | O20050304000175 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194750380 | NPI | - | NPPES |
| 001596335 | Medicaid | PA | |
| 000864238 | Other | PA | HIGHMARK BCBS |
| CD6867 | Other | PA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Christoph M Lance |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1710906300 PECOS PAC ID: 2961456678 Enrollment ID: I20050307000049 |
| Provider Name | Randal Paul Patterson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1174542740 PECOS PAC ID: 3779537592 Enrollment ID: I20050307000417 |
| Provider Name | Gregory Wynn Pyle |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1972522530 PECOS PAC ID: 5597719310 Enrollment ID: I20050308000151 |
Dentasl Care Associates, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 712 Logan Blvd, Hollidaysburg, PA 16648 Phone: 814-946-1950 Fax: 814-946-5725 | |
42 North Dental Care Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 712 S Logan Blvd, Hollidaysburg, PA 16648 Phone: 814-946-1950 |