| Tri-county Oral-facial Surgeons, Pc | |
|
200 W Beaver Ave Suite 100 State College PA 16801 | |
| (814) 238-0587 | |
| (814) 238-3840 |
| Full Name | Tri-county Oral-facial Surgeons, Pc |
|---|---|
| Speciality | Dentist |
| Location | 200 W Beaver Ave, State College, Pennsylvania |
| Authorized Official Name and Position | Stephen L Engroff (PRESIDENT) |
| Authorized Official Contact | 8142380587 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-county Oral-facial Surgeons, Pc 200 W Beaver Ave Suite 100 State College PA 16801 Ph: (814) 238-0587 | Tri-county Oral-facial Surgeons, Pc 200 W Beaver Ave Suite 100 State College PA 16801 Ph: (814) 238-0587 |
| NPI Number | 1265479638 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 10/24/2022 |
| Medicare PECOS PAC ID | 9436050911 |
|---|---|
| Medicare Enrollment ID | O20040116000998 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265479638 | NPI | - | NPPES |
| 50000663 | Other | CAPITAL BLUE CROSS | |
| 118029 | Other | HIGHMARK | |
| 1226 | Other | GEISINGER HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | (* (Not Available)) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Stephen L Engroff |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1366474314 PECOS PAC ID: 3577464056 Enrollment ID: I20040116000957 |
| Provider Name | Michelle Fanning Hursh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124395215 PECOS PAC ID: 8820351083 Enrollment ID: I20180423000232 |
| Provider Name | Jeremy Joseph Hanlon |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1881949766 PECOS PAC ID: 9032331517 Enrollment ID: I20230505001119 |
Campbell-pine,pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 E Beaver Ave, State College, PA 16801 Phone: 814-237-1751 Fax: 814-237-6069 | |
Cosmetic Dentistry Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Radnor Rd, Suite 200, State College, PA 16801 Phone: 814-238-2020 | |
David R. Curtis, D.m.d. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2601 Gateway Dr, Suite 200, State College, PA 16801 Phone: 814-237-2763 | |
Central Pennsylvania Endodontics, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 S Burrowes St, State College, PA 16801 Phone: 814-238-4400 | |
Sandhu Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 407 E Calder Way, State College, PA 16801 Phone: 814-234-8224 | |
Donald M Marks Dental Clinic Medicare: Medicare Enrolled Practice Location: 611 University Dr, State College, PA 16801 Phone: 814-234-0329 | |
Brungo Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 234 E College Ave, State College, PA 16801 Phone: 814-237-4300 Fax: 814-237-4303 |