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DR. STEPHEN L ENGROFF MD DDS NPI 1366474314


NPI Information

NPI: 1366474314
Provider Name: DR. STEPHEN L ENGROFF, MD DDS
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

PECOS Registration: Yes

Address:
200 W BEAVER AVE
SUITE 100
STATE COLLEGE, PA
ZIP 16801
Phone: (814) 238-0587
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DR. Stephen L Engroff, MD DDS is an oral and maxillofacial surgery dentist in State College, PA with 28 years of experience. The provider is an oral and maxillofacial surgery dentist 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. DR. Stephen L Engroff, MD DDS NPI is 1366474314. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduation Year:1996

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 NPI 1366474314 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes (HCPCS:99152)
  • Moderate sedation services by physician also performing a procedure, additional 15 minutes (HCPCS:99153)

The enumeration date for this NPI number is 7/7/2006 and was last updated on 9/12/2023.


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
11223P0106XDentistOral and Maxillofacial PathologyDS035655PENNSYLVANIANo
21223P0106XDentistOral and Maxillofacial PathologyMD422877PENNSYLVANIANo
31223S0112XDentistOral and Maxillofacial SurgeryDS035655PENNSYLVANIANo
41223S0112XDentistOral and Maxillofacial SurgeryMD422877PENNSYLVANIAYes

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
179677OTHERGEISINGER HEALTH PLAN
2EN1480132OTHERHIGHMARK

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.