| Stopperich Oral & Maxillofacial Surgery, Pllc | |
|
100 Wilhaven Rd Ste 101 Mc Murray PA 15317-3094 | |
| (724) 942-4800 | |
| Not Available |
| Full Name | Stopperich Oral & Maxillofacial Surgery, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 100 Wilhaven Rd Ste 101, Mc Murray, Pennsylvania |
| Authorized Official Name and Position | Phillip Stopperich (ONWER-DMD) |
| Authorized Official Contact | 7249424800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stopperich Oral & Maxillofacial Surgery, Pllc 100 Wilhaven Rd Ste 101 Mc Murray PA 15317-3094 Ph: () - | Stopperich Oral & Maxillofacial Surgery, Pllc 100 Wilhaven Rd Ste 101 Mc Murray PA 15317-3094 Ph: (724) 942-4800 |
| NPI Number | 1023702552 |
|---|---|
| Provider Enumeration Date | 06/07/2023 |
| Last Update Date | 06/07/2023 |
| Medicare PECOS PAC ID | 7719324383 |
|---|---|
| Medicare Enrollment ID | O20240319003364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023702552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Phillip S Stopperich |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1548234982 PECOS PAC ID: 3072787928 Enrollment ID: I20111111000054 |
| Provider Name | George M Koutras |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1275069304 PECOS PAC ID: 1658641832 Enrollment ID: I20250219003208 |
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