| Wexford Oral Surgery Pllc | |
|
101 Fowler Rd Wexford PA 15090 | |
| (412) 920-5860 | |
| Not Available |
| Full Name | Wexford Oral Surgery Pllc |
|---|---|
| Speciality | Dentist |
| Location | 101 Fowler Rd, Wexford, Pennsylvania |
| Authorized Official Name and Position | Jeffrey Rockacy (OWNER) |
| Authorized Official Contact | 4794262120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wexford Oral Surgery Pllc Po Box 16008 Pittsburgh PA 15242-0008 Ph: () - | Wexford Oral Surgery Pllc 101 Fowler Rd Wexford PA 15090 Ph: (412) 920-5860 |
| NPI Number | 1649822362 |
|---|---|
| Provider Enumeration Date | 07/12/2019 |
| Last Update Date | 07/12/2019 |
| Medicare PECOS PAC ID | 5698003507 |
|---|---|
| Medicare Enrollment ID | O20190829002429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649822362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Jeffrey W Rockacy |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1083725964 PECOS PAC ID: 1850364910 Enrollment ID: I20190829002494 |
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