| Western Pennsylvania Oral And Maxillofacial Surgery Pc | |
|
2112 N Franklin Drive Suite 2 Washington PA 15301-1530 | |
| (724) 223-0579 | |
| Not Available |
| Full Name | Western Pennsylvania Oral And Maxillofacial Surgery Pc |
|---|---|
| Speciality | Dentist |
| Location | 2112 N Franklin Drive, Washington, Pennsylvania |
| Authorized Official Name and Position | Kathleen Bentlejewski (OFFICE MANAGER) |
| Authorized Official Contact | 7242230579 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Pennsylvania Oral And Maxillofacial Surgery Pc 2112 N Franklin Dr Suite 2 Washington PA 15301-5892 Ph: (724) 223-0579 | Western Pennsylvania Oral And Maxillofacial Surgery Pc 2112 N Franklin Drive Suite 2 Washington PA 15301-1530 Ph: (724) 223-0579 |
| NPI Number | 1578767463 |
|---|---|
| Provider Enumeration Date | 06/13/2007 |
| Last Update Date | 12/16/2019 |
| Medicare PECOS PAC ID | 4486921947 |
|---|---|
| Medicare Enrollment ID | O20170605001136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578767463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS030642L (Pennsylvania) | Primary |
| 207L00000X | Anesthesiology | DA031589 (Pennsylvania) | Secondary |
| Provider Name | Steven M Krakora |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1366409799 PECOS PAC ID: 5698745370 Enrollment ID: I20040729000776 |
| Provider Name | Brandon S Humberger |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1366883076 PECOS PAC ID: 7618229311 Enrollment ID: I20181008002316 |
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John M. Reihner, D.d.s., Fagd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 N Franklin Dr, Suite 5, Washington, PA 15301 Phone: 724-222-2256 Fax: 724-222-9384 | |
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Washington Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 W Chestnut St, Washington, PA 15301 Phone: 724-206-0589 Fax: 724-993-4197 | |
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