# CENTRAL PA ORAL AND MAXILLOFACIAL SURGEONS

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

## Provider details

- **NPI number:** 1588625628
- **Authorized official:** TAMMI HAMMAKER (FINANCIAL/INSURANCE MANAGER)
- **Authorized official phone:** (717) 909-3239

## Contact information

- **Practice address:** 4700 UNION DEPOSIT RD, SUITE 260, HARRISBURG, PA 17111-3774
- **Practice address phone:** (717) 540-1777
- **Practice address fax:** (717) 540-6857
- **Mailing address:** 4700 UNION DEPOSIT RD, SUITE 260, HARRISBURG, PA 17111-3774
- **Mailing address phone:** (717) 540-1777
- **Mailing address fax:** (717) 540-6857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS020467L | PA | Yes |

## Other

- **Enumeration date:** 03/29/2006
- **Last updated:** 08/07/2008