EAGLES ORAL SURGERY (NPI# 1508497579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508497579 |
| Entity Type | Organization |
| Organization Name | EAGLES ORAL SURGERY |
| Practice Address |
1301 Penn Ave Wyomissing PA 19610-2140 |
| Practice Telephone | 4847731717 |
| Practice Fax Number | 4847731717 |
| Mailing Telephone | 4847731717 |
| Mailing Fax Number | 4847731717 |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2020-01-29 |
| Authorized Official Name | MEGAN SHANK (QUALITY CONTROL MANAGER) |
| Authorized Official Telephone | 6103726313 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942831904 | Eagles Oral Surgery | Dentist | 525 W Main St Ste 11, Trappe, PA 19426-1923 | 2020-01-29 |
| 1376174862 | Eagles Oral Surgery | Dentist | 1425 Penn Ave, Wyomissing, PA 19610-2133 | 2020-02-03 |
| 1265063259 | Eagles Oral Surgery | Dentist | 4744 Penn Ave, Reading, PA 19608-9672 | 2020-01-29 |
| 1114558103 | Eagles Oral Surgery | Dentist | 1001 S 4th St, Hamburg, PA 19526-9211 | 2020-01-29 |
| 1720619612 | Eagles Oral Surgery | Dentist | 1037 E Philadelphia Ave, Gilbertsville, PA 19525-9516 | 2020-01-29 |
| 1508497587 | Eagles Oral Surgery | Dentist | 620 Kenhorst Plz, Reading, PA 19607-3648 | 2020-01-29 |
| 1104457191 | Eagles Oral Surgery | Dentist | 5106 Allentown Pike, Temple, PA 19560-1212 | 2020-01-29 |
| 1730710716 | Eagles Oral Surgery | Dentist | 5500 Perkiomen Ave, Reading, PA 19606-3634 | 2020-01-29 |
| 1811528870 | Eagles Oral Surgery | Dentist | 1867 E High St, Pottstown, PA 19464-3294 | 2020-01-29 |
| 1922639822 | Eagles Oral Surgery | Dentist | 1030 Lititz Pike, Lititz, PA 17543-9328 | 2020-01-29 |
| Street Address |
1301 PENN AVE |
| City | WYOMISSING |
| State | PA |
| Zip Code | 19610-2140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336618909 | Michael Mcclain | Dentist | 1301 Penn Ave, Wyomissing, PA 19610-2140 | 2018-11-13 |
| 1174079727 | Molly Hottenstein | Dentist | 1301 Penn Ave, Wyomissing, PA 19610-2140 | 2016-09-01 |
| 1073927497 | Yvonne Kwong | Dentist | 1301 Penn Ave, Wyomissing, PA 19610-2140 | 2014-06-13 |
| 1669742052 | Amdent Ltd | Dentist | 1301 Penn Ave, Wyomissing, PA 19610-2140 | 2012-01-03 |
| 1790800449 | Ioulia Y Bunker | Dentist | 1301 Penn Ave, Wyomissing, PA 19610-2140 | 2007-03-20 |
| 1558446146 | Amdent Ltd | Dentist | 1301 Penn Ave, Wyomissing, PA 19610-2140 | 2006-10-25 |
| 1487740718 | John Mcintyre | Dentist | 1301 Penn Ave, Wyomissing, PA 19610-2140 | 2006-10-05 |
| 1730282757 | David Pelagio | Dentist | 1301 Penn Ave, Wyomissing, PA 19610-2140 | 2006-09-06 |
| 1881701894 | Carla Banducci | Dentist | 1301 Penn Ave, Wyomissing, PA 19610-2140 | 2006-08-24 |
| 1437263373 | Vincent Gerardi | Dentist | 1301 Penn Ave, Wyomissing, PA 19610-2140 | 2006-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154944486 | Fresenius Medical Care Wyomissing, LLC | Clinic/Center | 656 Berkshire Blvd, Wyomissing, PA 19610 | 2020-05-21 |
| 1235779943 | Stacey Oberhauser | Urology | Center for Urologic Care of Berks County, 1320 Broadcasting Road, Suite 200, Wyomissing, PA 19610 | 2020-01-10 |
| 1932742772 | Kristin Marie Lapp | Social Worker | 1120-c Hobart Ave, Wyomissing, PA 19610 | 2019-10-24 |
| 1396302410 | Susan Cohick | Occupational Therapy Assistant | The Center for Pediatric Therapy Inc, 9 Bristol Ct, Wyomissing, PA 19610 | 2019-05-23 |
| 1518475953 | Safe Care Express Pllc | Clinic/Center | 1802 State Hill Rd, Wyomissing, PA 19610 | 2018-01-19 |
| 1346779733 | Eric Angstadt | Dentist | 85 Commerce Drive, Wyomissing, PW 19610 | 2017-06-08 |
| 1497209761 | Keystone Orthopaedic Specialists,llc | Durable Medical Equipment & Medical Supplies | 2607 Keiser Blvd # 200, Wyomissing, PA 19610 | 2016-08-04 |
| 1104270875 | Heather Claudette Meyer | Hearing Instrument Specialist | 50 Berkshire Ct Ste 250, Wyomissing, PA 19610 | 2016-04-19 |
| 1396125050 | Courtney B. Pursell | Counselor | 716 N. Park Rd., Wyomissing, PA 19610 | 2015-06-08 |
| 1760892012 | Nicole M Robb | Counselor | 17 Evans Ave, Wyomissing, PA 19610 | 2014-05-07 |
| Find all providers in zip 19610 | ||||
| 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 |
|---|---|---|---|---|
| 1811195571 | Richard Carter Baumbach | Dentist | 2109 Parkview Dr, Wyomissing, PA 19610-2739 | 2007-07-04 |
| 1114918497 | Steven Fallon | Dentist | 1075 Berkshire Blvd, Suite 800, Wyomissing, PA 19610-1264 | 2005-11-04 |
| 1376174862 | Eagles Oral Surgery | Dentist | 1425 Penn Ave, Wyomissing, PA 19610-2133 | 2020-02-03 |
| 1427340553 | Geoffrey Zinberg | Dentist | 1075 Berkshire Blvd, Suite 800, Wyomissing, PA 19610-1264 | 2011-05-08 |
| 1306179916 | David Lewis Winans | Dentist | 1075 Berkshire Blvd, Wyomissing, PA 19610-1264 | 2009-09-14 |
| 1538272026 | Steven Goldberg | Dentist | 1301 Penn Ave, Wyomissing, PA 19610-2140 | 2006-08-17 |
| 1790710325 | Berks Oral Surgery Ltd | Dentist | 1075 Berkshire Blvd, Suite 800, Wyomissing, PA 19610-1264 | 2006-07-12 |
| 1932189099 | Andrew M Rowan | Dentist | 1075 Berkshire Blvd, Suite 800, Wyomissing, PA 19610 | 2006-01-17 |
| 1740269687 | Frederick J Ciabattoni | Dentist | 1075 Berkshire Blvd, Suite 800, Wyomissing, PA 19610 | 2006-01-10 |
| 1154300028 | John J Ciabattoni | Dentist | 1075 Berkshire Blvd, Ste 800, Wyomissing, PA 19610 | 2006-01-10 |
| Find all providers in WYOMISSING | ||||
| City | WYOMISSING |
| Zip Code | 19610 |
Please comment or provide details below to improve the information on EAGLES ORAL SURGERY.
| 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.