EAGLES ORAL SURGERY (NPI# 1679104574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679104574 |
| Entity Type | Organization |
| Organization Name | EAGLES ORAL SURGERY |
| Practice Address |
221 Rohrerstown Rd Lancaster PA 17603-2230 |
| Mailing 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 |
| 1508497579 | Eagles Oral Surgery | Dentist | 1301 Penn Ave, Wyomissing, PA 19610-2140 | 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 |
| Street Address |
221 ROHRERSTOWN RD |
| City | LANCASTER |
| State | PA |
| Zip Code | 17603-2230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215271838 | Amdent Ltd | Dentist | 221 Rohrerstown Rd, Lancaster, PA 17603-2230 | 2012-11-20 |
| 1497232342 | Kim Stapleton | Dentist | 221 Rohrerstown Rd, Lancaster, PA 17603-2230 | 2018-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757311 | Meadow Grove Counseling, LLC | Counselor | 822 Marietta Avenue, Lancaster, PA 17603 | 2020-07-06 |
| 1386274355 | Bristeena K Peter | Registered Nurse | 122 Broadstone St, Lancaster, PA 17603 | 2020-01-18 |
| 1164926457 | Kelly Fickett | Registered Nurse | 100 Rohrstown Rd, Suite A, Lancaster, PA 17603 | 2018-03-21 |
| 1063929115 | Lancaster Behavioral Health Hospital LLC | Psychiatric Hospital | 333 Harrisburg Ave, Lancaster, PA 17603 | 2018-01-10 |
| 1659880458 | Young Men's Christian Association of Lancaster County | Health Educator | 265 Harrisburg Ave, Lancaster, PA 17603 | 2017-09-25 |
| 1447779228 | Joshua Michael Saez | Licensed Practical Nurse | 410 N Prince St., Lancaster, PA 17603 | 2017-09-13 |
| 1689190126 | Leeann Koch | Audiologist | 2160 Noll Drive, Suite 100, Lancaster, PA 17603 | 2017-08-16 |
| 1972950327 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 354 N. Prince Street, Suite 120, Lancaster, PA 17603 | 2016-05-16 |
| 1366804833 | Yesenia Colon Rivera | Psychologist | 812 North Prince St., Lancaster, PA 17603 | 2016-03-24 |
| 1073975959 | Laura Morse | Counselor | 48 N Queen St, Lancaster, PA 17603 | 2016-03-22 |
| Find all providers in zip 17603 | ||||
| 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 |
|---|---|---|---|---|
| 1356834675 | Gennady Landa, Dds, Md, Inc. | Dentist | 44439 17th St W Ste 102, Lancaster, CA 93534-2854 | 2018-06-12 |
| 1639334212 | Gennady Landa | Dentist | 44439 N. 17th Street West, Suite 102, Lancaster, CA 93534 | 2008-07-23 |
| 1871766832 | Keystone Oral and Facial Surgery, P.C. | Dentist | 2100 Harrisburg Pike Bldg 2106, Suite 22, Lancaster, PA 17601-2644 | 2008-04-10 |
| 1609967348 | Kenneth Warren Malone | Dentist | 44439 N. 17th St W Suite 102, Lancaster, CA 93534 | 2006-09-27 |
| 1578576914 | Kenneth W. Malone, Dds, PC | Dentist | 44439 17th St West #102, Lancaster, CA 93534 | 2006-08-15 |
| 1891724761 | Eric M. Katch | Dentist | 1000 Rohrerstown Road, Lancaster, PA 17601-2644 | 2006-07-02 |
| 1659314649 | Brian A Stern | Dentist | 609 E Chestnut St, Lancaster, OH 43130-3900 | 2006-06-14 |
| 1497269492 | Gregory C. Michaels D.d.s., M.s. Oral & Maxillofacial Surgery,inc. | Dentist | 823 N Columbus St, Lancaster, OH 43130-2549 | 2017-11-29 |
| 1861913949 | Lancaster Oral Surgery Group, LLC | Dentist | 1834 Oregon Pike Ste 21, Lancaster, PA 17601-6463 | 2017-06-29 |
| 1588084206 | Bishara Dental | Dentist | 525 W Pleasant Run Rd, 200, Lancaster, TX 75146-1576 | 2014-04-21 |
| Find all providers in LANCASTER | ||||
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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.