| Three Rivers Oral And Maxillofacial Surgery | |
|
3515 Washington Rd Suite # 562 Mc Murray PA 15317-3063 | |
| (724) 260-5184 | |
| Not Available |
| Full Name | Three Rivers Oral And Maxillofacial Surgery |
|---|---|
| Speciality | Dentist |
| Location | 3515 Washington Rd, Mc Murray, Pennsylvania |
| Authorized Official Name and Position | Mohammed-abdul Khan (OWNER) |
| Authorized Official Contact | 7242605184 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Three Rivers Oral And Maxillofacial Surgery 3515 Washington Rd Suite # 562 Mc Murray PA 15317-3063 Ph: (724) 260-5184 | Three Rivers Oral And Maxillofacial Surgery 3515 Washington Rd Suite # 562 Mc Murray PA 15317-3063 Ph: (724) 260-5184 |
| NPI Number | 1942554704 |
|---|---|
| Provider Enumeration Date | 11/01/2012 |
| Last Update Date | 11/01/2012 |
| Medicare PECOS PAC ID | 0749432284 |
|---|---|
| Medicare Enrollment ID | O20121210000331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942554704 | NPI | - | NPPES |
| 0077451000002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS029596L (Pennsylvania) | Primary |
| Provider Name | Mohammed-abdul A Khan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1912009630 PECOS PAC ID: 9931143252 Enrollment ID: I20050616000789 |
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