# POCONO CENTER FOR ORAL, FACIAL & IMPLANT SURGERY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Pocono Oral Maxillofacial Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124222971
- **Authorized official:** PAMELA LOUISE ALBERTO DMD (PARTNER)
- **Authorized official phone:** (570) 491-4145

## Contact information

- **Practice address:** 16 PENNSYLVANIA AVE, MATAMORAS, PA 18336
- **Practice address phone:** (570) 491-4145
- **Practice address fax:** (570) 491-5119
- **Mailing address:** PO BOX 190, 16 PENNSYLVANIA AVE, MATAMORAS, PA 18336
- **Mailing address phone:** (570) 491-4145
- **Mailing address fax:** (570) 491-5119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS035287 | PA | — |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | DS020813L | PA | Yes |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | DS030426L | PA | — |

## Other

- **Enumeration date:** 06/14/2007
- **Last updated:** 09/01/2016