# CAMPUS ORAL & MAXILLOFACIAL SURGERY, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093873465
- **Authorized official:** DR. ERIC M. KATCH D.M.D. (PRESIDENT)
- **Authorized official phone:** (717) 519-5297

## Contact information

- **Practice address:** 1000 ROHRERSTOWN ROAD, LANCASTER, PA 17601-2644
- **Practice address phone:** (717) 519-5297
- **Practice address fax:** (717) 519-5290
- **Mailing address:** 1000 ROHRERSTOWN ROAD, LANCASTER, PA 17601-2644
- **Mailing address phone:** (717) 519-5297
- **Mailing address fax:** (717) 519-5290

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | — | NULL | Yes |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | — | — | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | — |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 11/09/2011
