National Provider Identifier Database

ALTOONA CENTER FOR 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

ALTOONA CENTER FOR ORAL AND MAXILLOFACIAL SURGERY, LLC
901 VALLEY VIEW BLVD
ALTOONA, PA16602-6363
Phone: 814-946-5060
Fax: 814-946-4898
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for ALTOONA CENTER FOR ORAL AND MAXILLOFACIAL SURGERY, LLC

NPI Number 1285882597
Legal business name
LBN
ALTOONA CENTER FOR ORAL AND MAXILLOFACIAL SURGERY, LLC
Authorized official CAROLYN LAMPARD - (ORAL AND MAXILLOFACIAL SURGEON)
Entity Organization
Organization subpart No
Enumeration date 08/29/2008
Last updated 01/27/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: DS031238R
  • PA Medicaid: 0018753130005

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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