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EAGLES ORAL SURGERY NPI 1679104574


NPI Information

NPI: 1679104574
Provider Name: EAGLES ORAL SURGERY
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
221 ROHRERSTOWN RD
LANCASTER, PA
ZIP 17603
Phone: (484) 773-1717
Get Directions

EAGLES ORAL SURGERY is an oral and maxillofacial surgery dentist in Lancaster, PA. The provider is the specialty of dentistry which includes 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. EAGLES ORAL SURGERY NPI is 1679104574. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

221 ROHRERSTOWN RD
LANCASTER, PA
ZIP 17603-230
Phone: (484) 773-1717
Fax: (484) 773-1717

The provider's authorized official is Megan Shank .
The authorized official title is Quality Control Manager and has the following contact phone number (610) 372-6313.

The enumeration date for this NPI number is 1/29/2020 and was last updated on 1/29/2020.


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 SurgeryYes

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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