# BAMONTE ORAL SURGERY CRNA

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

## Provider details

- **NPI number:** 1639210198
- **Authorized official:** DR. JOHN A BAMONTE DMD (OWNER)
- **Authorized official phone:** (724) 934-3844

## Contact information

- **Practice address:** 101 N MEADOWS DR, SUITE \#121, WEXFORD, PA 15090-8368
- **Practice address phone:** (724) 394-3844
- **Practice address fax:** (724) 394-3851
- **Mailing address:** 101 N MEADOWS DR, SUITE \#121, WEXFORD, PA 15090-8368
- **Mailing address phone:** (724) 394-3844
- **Mailing address fax:** (724) 394-3851

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS024033L | PA | Yes |

## Other

- **Enumeration date:** 02/09/2007
- **Last updated:** 08/22/2020