# CLEARFIELD ORAL FACIAL AND IMPLANT SURGERY PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Oral Surgery & Implant Center of Dubois
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528805579
- **Authorized official:** DR. JEREMY RICE DO, DMD (OWNER)
- **Authorized official phone:** (412) 223-5880

## Contact information

- **Practice address:** 90 BEAVER DR STE 209D, DU BOIS, PA 15801-2449
- **Practice address phone:** (412) 223-5880
- **Practice address fax:** (412) 223-5883
- **Mailing address:** 1416 MOUNT ROYAL BLVD, GLENSHAW, PA 15116-2206
- **Mailing address phone:** (412) 223-5880
- **Mailing address fax:** (412) 223-5883

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | Yes |

## Other

- **Enumeration date:** 07/09/2024
- **Last updated:** 07/09/2024