| Pocono Oral Surgery Pc | |
|
1095 Texas Palmyra Hwy Honesdale PA 18431-7687 | |
| (570) 253-4000 | |
| (570) 253-8977 |
| Full Name | Pocono Oral Surgery Pc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1095 Texas Palmyra Hwy, Honesdale, Pennsylvania |
| Authorized Official Name and Position | Michael Scott Monto (PRESIDENT) |
| Authorized Official Contact | 5702534000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pocono Oral Surgery Pc 1095 Texas Palmyra Hwy Honesdale PA 18431-7687 Ph: (570) 253-4000 | Pocono Oral Surgery Pc 1095 Texas Palmyra Hwy Honesdale PA 18431-7687 Ph: (570) 253-4000 |
| NPI Number | 1194963900 |
|---|---|
| Provider Enumeration Date | 02/02/2009 |
| Last Update Date | 02/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194963900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS035287 (Pennsylvania) | Primary |
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