MONTCO ORAL AND MAXILLOFACIAL SURGERY (NPI# 1043496599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043496599 |
| Entity Type | Organization |
| Organization Name | MONTCO ORAL AND MAXILLOFACIAL SURGERY |
| Practice Address |
545 W Main St Suite 24 Trappe PA 19426-1981 |
| Practice Telephone | 6104890525 |
| Practice Fax Number | 6104894720 |
| Mailing Telephone | 6104890525 |
| Mailing Fax Number | 6104894720 |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |
| Authorized Official Name | MRS. MARY E LUKAS (OFFICE MANAGER) |
| Authorized Official Telephone | 6104890525 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DS024305 | PA | Dental Providers |
| Street Address |
545 W MAIN ST SUITE 24 |
| City | TRAPPE |
| State | PA |
| Zip Code | 19426-1981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679503908 | Donald R. Brogan | Pediatrics | 545 W Main St, Trappe, PA 19426-1981 | 2006-07-03 |
| 1902840945 | Jon A. Keim | Family Medicine | 545 W Main St, Suite 11, Trappe, PA 19426 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063057040 | Oswaldo Giovanni Tagle Manrique | Physician Assistant | 1200 Mokychic Road, Collegeville, PA 19426 | 2019-11-13 |
| 1639722507 | Child & Family Focus Inc | Community/Behavioral Health | 121 Wartman Road, Perkiomen Township, PA 19426 | 2019-07-19 |
| 1487116299 | Joshua Heinsheimer | Dentist | 241-3 Plaza Drive, Collegeville, PA 19426 | 2019-04-01 |
| 1093284101 | Courtney Cione | Nurse Practitioner | 1200 Mokychic Rd., Collegeville, PA 19426 | 2018-11-19 |
| 1538645007 | Linda Kathleen Muller | Registered Nurse | 369 Avon Ave, Collegeville, PA 19426 | 2018-07-17 |
| 1215445333 | Mary Catherine Campetti | Nurse Practitioner | 555 Second Ave Ste C-850, Collegeville, PA 19426 | 2018-01-11 |
| 1831606292 | Kevin Titze | Counselor | 3819 Germantown Pike Ste B, Collegeville, PA 19426 | 2018-01-08 |
| 1942727441 | Naomi Avoline Kim | Counselor | 555 2nd Ave, Building B, Suite 101, Collegeville, PA 19426 | 2017-08-24 |
| 1376086348 | Kelly Robin Durante | Nurse Practitioner | 433 Komen Ct., Collegeville, PA 19426 | 2016-11-23 |
| 1558817262 | Joseph Kosto | Pharmacist | 1219 Taylor Way, Collegeville, PA 19426 | 2016-09-01 |
| Find all providers in zip 19426 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942831904 | Eagles Oral Surgery | Dentist | 525 W Main St Ste 11, Trappe, PA 19426-1923 | 2020-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074037 | Kingsbury Oral and Maxillofacial Surgery, PC | Dentist | 1 Presidential Blvd Ste 207, Bala Cynwyd, PA 19004-1007 | 2020-08-17 |
| 1679183990 | Always Precision Dental PC | Dentist | 1023 King Way, Breinigsville, PA 18031-1482 | 2020-08-02 |
| 1447874490 | Peace Dental Associates | Dentist | 35 S 2nd Ave, Clarion, PA 16214-1934 | 2020-06-05 |
| 1528689270 | New Hope Oral Surgery and Implant Center | Dentist | 6660 Old York Rd, New Hope, PA 18938 | 2020-05-05 |
| 1104466028 | Keystone Oral and Maxillofacial Surgery, P.C. | Dentist | 560 Rugh St Ste 100, Greensburg, PA 15601-5601 | 2020-01-08 |
| 1245889740 | Oral & Facial Surgery of Pittsburgh, P.C. | Dentist | 180 Swinderman Rd Ste 260, Wexford, PA 15090-5620 | 2019-09-06 |
| 1528626124 | Christopher Yi | Dentist | 900 Walnut St Rm 300, Philadelphia, PA 19107-5191 | 2019-05-30 |
| 1275091886 | Gary M Carmassi Dmd | Dentist | 8650 Babcock Blvd Ste 3, Pittsburgh, PA 15237-5009 | 2019-03-04 |
| 1073093233 | Ban Oral and Facial Surgical Associates LLC | Dentist | 4725 Mcknight Rd Ste 209, Pittsburgh, PA 15237-3414 | 2018-08-17 |
| 1962942771 | American Management Group | Dentist | 3900 City Avenue Apt W1101, Philadelphia, PA 19131 | 2017-02-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.