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TRI-COUNTY ORAL-FACIAL SURGEONS PC NPI 1265479638


NPI Information

NPI: 1265479638
Provider Name: TRI-COUNTY ORAL-FACIAL SURGEONS, PC
Classification: Dentist - 1223P0106X
Entity Type: Organization

Specialization: Oral and Maxillofacial Pathology

Address:
200 W BEAVER AVE
SUITE 100
STATE COLLEGE, PA
ZIP 16801
Phone: (814) 238-0587
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TRI-COUNTY ORAL-FACIAL SURGEONS, PC is an oral and maxillofacial pathology dentist in State College, PA. The provider is the specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. TRI-COUNTY ORAL-FACIAL SURGEONS, PC NPI is 1265479638. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

200 W BEAVER AVE
SUITE 100
STATE COLLEGE, PA
ZIP 16801
Phone: (814) 238-0587
Fax: (814) 238-3840

The provider's authorized official is Barry R Stein .
The authorized official title is President and has the following contact phone number (814) 238-0587.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 6/30/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryNo
21223P0106XDentistOral and Maxillofacial PathologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1118029MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA
21226OTHERGEISINGER HEALTH PLAN
350000663OTHERCAPITAL BLUE CROSS
4118029OTHERHIGHMARK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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