ORAL AND MAXILLO-FACIAL SURGERY, INC. (NPI# 1447388590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447388590 |
| Entity Type | Organization |
| Organization Name | ORAL AND MAXILLO-FACIAL SURGERY, INC. |
| Practice Address |
432 Rolling Ridge Drive Suite 2 State College PA 16801 |
| Practice Telephone | 8142340921 |
| Practice Fax Number | 8142346240 |
| Mailing Telephone | 8142340921 |
| Mailing Fax Number | 8142346240 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2013-02-05 |
| Authorized Official Name | HAROLD J. HANEY (ORAL SURGEON) |
| Authorized Official Telephone | 8142340921 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0008X |
Dentist Specialization: Oral and Maxillofacial Radiology |
DS024017L | PA | Dental Providers |
| Y | 1223X0008X |
Dentist Specialization: Oral and Maxillofacial Radiology |
DS017187L | PA | Dental Providers |
| Street Address |
432 ROLLING RIDGE DRIVE SUITE 2 |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851880975 | Creative Reflections Counseling, LLC | Counselor | 315 S Allen St Ste 124b, State College, PA 16801 | 2018-05-03 |
| 1679097901 | Michelle L Grove | Home Health Aide | 2100 E College Ave Ste B, State College, PA 16801 | 2017-07-28 |
| 1740702034 | Matthew Ishler | Counselor | 315 S. Allen Street Ste 326, State College, PA 16801 | 2017-07-09 |
| 1699206300 | Emily Lauer | Specialist/Technologist | 102a Multisport Indoor Facility, State College, PA 16801 | 2017-03-23 |
| 1740721075 | Luk Devorski | Student in an Organized Health Care Education/Training Program | Rec Hall University Park, Penn State University, State College, PA 16801 | 2017-03-20 |
| 1013465764 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 201 West Beaver Avenue, State College, PA 16801 | 2016-09-12 |
| 1740685858 | Mallory L. Miller | Physician Assistant | 100 Radnor Rd Ste 101, State College, PA 16801 | 2014-10-31 |
| 1386053981 | Christopher Hippenmeyer | Specialist/Technologist | 102a East Area Locker Building, Pennsylvania State University, University Park, PA 16801 | 2014-08-07 |
| 1982022059 | Christy Sharer | Counselor | 301 S Allen St Ste 106, State College, PA 16801 | 2014-04-04 |
| 1912250523 | Eva M Letwin | Counselor | 2011 Cato Ave Ste 201, State College, PA 16801 | 2012-10-19 |
| Find all providers in zip 16801 | ||||
| Taxonomy Code | 1223X0008X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Radiology |
| The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720381353 | Jie Yang | Dentist | 317 Wild Prairie Ct, Maple Glen, PA 19002-1125 | 2010-12-21 |
| 1891006060 | Anitha Potluri | Dentist | 3501 Terrace Street, Suite 3189, Pittsburgh, PA 15261 | 2010-06-23 |
| 1568641991 | Lawrence G Schneider | Dentist | 3501 Terrace St, G127, Pittsburgh, PA 15261-0001 | 2007-11-02 |
| City | STATE COLLEGE |
| Zip Code | 16801 |
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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.