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Organization
KEYSTONE ORAL SURGERY ASSOCIATES PC
Active
Organization
KEYSTONE ORAL SURGERY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PRANATHI REDDY DDS (OWNER)
(267) 809-2364
Entity
Organization
Contact information
Practice address
1 HOSPITAL DR, LEWISBURG, PA 17837-9350
(570) 884-8321
(570) 256-1772
Mailing address
30 BALDWIN BLVD STE 95, SHAMOKIN DAM, PA 17876-9520
(570) 234-3555
(570) 256-1772
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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