| The Facial Surgery Center, L.l.c. | |
|
6545 Route 819 Ste 100 Mt Pleasant PA 15666-2665 | |
| (724) 547-0999 | |
| (724) 547-5345 |
| Full Name | The Facial Surgery Center, L.l.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 6545 Route 819 Ste 100, Mt Pleasant, Pennsylvania |
| Authorized Official Name and Position | Edward John Halusic (OWNER/ORAL, MAXILLOFACIAL SURGEON) |
| Authorized Official Contact | 7245470999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Facial Surgery Center, L.l.c. 6545 Route 819 Ste 100 Mt Pleasant PA 15666-2665 Ph: (724) 547-0999 | The Facial Surgery Center, L.l.c. 6545 Route 819 Ste 100 Mt Pleasant PA 15666-2665 Ph: (724) 547-0999 |
| NPI Number | 1871764860 |
|---|---|
| Provider Enumeration Date | 03/18/2008 |
| Last Update Date | 07/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871764860 | NPI | - | NPPES |
| 044331 | Other | PA | HIGHMARK BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS021856 (Pennsylvania) | Primary |
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