Associates In Oral & Maxillofacial Surgery
LBN: Associates In Oral & Maxillofacial Surgery
Associates In Oral & Maxillofacial Surgery is an health care organization with primary practice located at 955 Berkshine Blvd Ste 104, Wyomissing PA 19610. The organization recently has only one registered license in Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Associates In Oral & Maxillofacial Surgery can be contacted via phone (610) 373-7823, or through Balaci, Alexandre via phone (610) 373-7823.
Contact Information
Primary practice address
955 Berkshine Blvd Ste 104
Wyomissing PA 19610
Phone: (610) 373-7823
Fax: (610) 373-5590
Website:
Authorized official contact:
Name: Balaci, Alexandre Doctor of Dental Medicine (DMD)
Phone: (610) 373-7823
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery | 261QS0112X |
Profile Details
| NPI number | 1386625366 |
|---|---|
| LBN Legal business name | Associates In Oral & Maxillofacial Surgery |
| DBA Doing business as | |
| Authorized official | Balaci, Alexandre Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Oct 12th, 2010 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386625366 | NPPES |
| Pennsylvania | Other | 02747200 | CAPITAL BLUE CROSS |
| Pennsylvania | MEDICAID | 0016251970003 | CAPITAL BLUE CROSS |
| Pennsylvania | Other | 2208314 | CAPITAL BLUE CROSS |
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