| Reading Oral Surgery Group, Ltd | |
|
517 E Lancaster Ave Shillington PA 19607-1364 | |
| (610) 777-7646 | |
| (610) 777-7570 |
| Full Name | Reading Oral Surgery Group, Ltd |
|---|---|
| Speciality | Dentist |
| Location | 517 E Lancaster Ave, Shillington, Pennsylvania |
| Authorized Official Name and Position | Paul R Farrell (DOCTOR) |
| Authorized Official Contact | 6107777646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reading Oral Surgery Group, Ltd 517 E Lancaster Ave Shillington PA 19607-1364 Ph: (610) 777-7646 | Reading Oral Surgery Group, Ltd 517 E Lancaster Ave Shillington PA 19607-1364 Ph: (610) 777-7646 |
| NPI Number | 1760581581 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 1052308970 |
|---|---|
| Medicare Enrollment ID | O20040430000412 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760581581 | NPI | - | NPPES |
| 0005247430001 | Medicaid | PA | |
| 039397 | Other | PA | HIGHMARK BLUE SHIELD |
| 02979300 | Other | PA | CAPITAL BLUE CROSS |
| 0005247430002 | Medicaid | PA | |
| 18602 | Other | PA | HEALTH AM/HEALTH ASSURANC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Paul R Farrell |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1396844247 PECOS PAC ID: 2668653916 Enrollment ID: I20110221000511 |