# POTTSVILLE ORAL SURGERY, PC

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

## Provider details

- **NPI number:** 1518975671
- **Authorized official:** JEFFREY HOROWITZ DDS,MD (PRESIDENT)
- **Authorized official phone:** (570) 622-9746

## Contact information

- **Practice address:** 2257 W END AVE, POTTSVILLE, PA 17901-1825
- **Practice address phone:** (570) 622-9746
- **Practice address fax:** (570) 622-3723
- **Mailing address:** 2257 W END AVE, POTTSVILLE, PA 17901-1825
- **Mailing address phone:** (570) 622-9746
- **Mailing address fax:** (570) 622-3723

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS031220-L | PA | Yes |

## Other

- **Enumeration date:** 08/04/2006
- **Last updated:** 06/30/2017