National Provider Identifier Database

CONQUEST ORAL AND MAXILLOFACIAL SURGERY LLC
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.


Contact Information

CONQUEST ORAL AND MAXILLOFACIAL SURGERY, LLC
1187 THORN RUN RD
SUITE 110
CORAOPOLIS, PA15108-3198
Phone: 412-463-7048
Fax:
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for CONQUEST ORAL AND MAXILLOFACIAL SURGERY, LLC

NPI Number 1093110181
Legal business name
LBN
CONQUEST ORAL AND MAXILLOFACIAL SURGERY, LLC
Authorized official MATTHEW CONQUEST - (MEMBER/OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/31/2014
Last updated 10/31/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: DS036534

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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