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WALTZ CENTER FOR ORAL SURGERY & IMPLANTOLOGY PC NPI 1972987550


NPI Information

NPI: 1972987550
Provider Name: WALTZ CENTER FOR ORAL SURGERY & IMPLANTOLOGY, PC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
16327 MOUNT AIRY RD
SHREWSBURY, PA
ZIP 17361
Phone: (717) 227-9959
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WALTZ CENTER FOR ORAL SURGERY & IMPLANTOLOGY, PC is an oral and maxillofacial surgery dentist in Shrewsbury, PA. 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. WALTZ CENTER FOR ORAL SURGERY & IMPLANTOLOGY, PC NPI is 1972987550. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16327 MOUNT AIRY RD
SHREWSBURY, PA
ZIP 17361-624
Phone: (717) 227-9959
Fax: (717) 227-1262

The provider's authorized official is Ribert Lewis Waltz .
The authorized official title is Owner/surgeon and has the following contact phone number (717) 227-9959.

The enumeration date for this NPI number is 7/14/2015 and was last updated on 8/3/2015.


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 SurgeryDS023711LPENNSYLVANIAYes

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
1509949ZAVDMEDICARE UPINPENNSYLVANIA

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: 4/28/2024

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