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ALTOONA CENTER FOR ORAL AND MAXILLOFACIAL SURGERY LLC NPI 1285882597


NPI Information

NPI: 1285882597
Provider Name: ALTOONA CENTER FOR ORAL AND MAXILLOFACIAL SURGERY, LLC
Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
901 VALLEY VIEW BLVD
ALTOONA, PA
ZIP 16602
Phone: (814) 946-5060
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ALTOONA CENTER FOR ORAL AND MAXILLOFACIAL SURGERY, LLC is an oral and maxillofacial surgery clinic center in Altoona, PA. The provider is an oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. ALTOONA CENTER FOR ORAL AND MAXILLOFACIAL SURGERY, LLC NPI is 1285882597. The provider is registered as an organization entity type.

The provider's business location address is:

901 VALLEY VIEW BLVD
ALTOONA, PA
ZIP 16602-363
Phone: (814) 946-5060
Fax: (814) 946-4898

The provider's authorized official is Carolyn Sawicki Lampard .
The authorized official title is Oral And Maxillofacial Surgeon and has the following contact phone number (814) 946-5060.

The enumeration date for this NPI number is 8/29/2008 and was last updated on 1/27/2016.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS0112XClinic/CenterOral and Maxillofacial SurgeryDS031238RPENNSYLVANIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10018753130005MEDICAIDPENNSYLVANIA
2U63414MEDICARE UPINPENNSYLVANIA
3136360MEDICARE PINPENNSYLVANIA

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: 5/5/2024

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