| Valley Oral Surgery Pc | |
|
1275 S Cedar Crest Blvd Ste 1 Allentown PA 18103-6242 | |
| (610) 437-1727 | |
| (610) 437-4715 |
| Full Name | Valley Oral Surgery Pc |
|---|---|
| Speciality | Dentist |
| Location | 1275 S Cedar Crest Blvd Ste 1, Allentown, Pennsylvania |
| Authorized Official Name and Position | Robert Laski (MANAGING PARTNER) |
| Authorized Official Contact | 6104371727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Oral Surgery Pc 1321 W New St Bethlehem PA 18018 Ph: (610) 861-7406 | Valley Oral Surgery Pc 1275 S Cedar Crest Blvd Ste 1 Allentown PA 18103-6242 Ph: (610) 437-1727 |
| NPI Number | 1043240013 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 01/31/2023 |
| Medicare PECOS PAC ID | 8921912635 |
|---|---|
| Medicare Enrollment ID | O20031117000862 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043240013 | NPI | - | NPPES |
| 1039082 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Robert Laski |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1316931298 PECOS PAC ID: 0345154779 Enrollment ID: I20031118001067 |
| Provider Name | Laurence D Popowich |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1245224120 PECOS PAC ID: 2365356078 Enrollment ID: I20050621000490 |
| Provider Name | Jaime M Cernansky |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1194987040 PECOS PAC ID: 2466509526 Enrollment ID: I20090408000119 |
| Provider Name | Niral Parikh |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1467694471 PECOS PAC ID: 8022270941 Enrollment ID: I20120720000089 |
| Provider Name | Robert Block |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1134436413 PECOS PAC ID: 3375978240 Enrollment ID: I20200123000158 |
| Provider Name | Markus S Hill |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1558643908 PECOS PAC ID: 0446685317 Enrollment ID: I20200123000221 |
| Provider Name | Joshua J Gregory |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1245732098 PECOS PAC ID: 1658756416 Enrollment ID: I20220914001688 |
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