# MID-PENN ORAL & MAXILLOFACIAL SURGERY, PC

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

## Provider details

- **NPI number:** 1699808410
- **Authorized official:** DR. JEFFREY LEE RAJCHEL DDS (OWNER)
- **Authorized official phone:** (717) 652-5002

## Contact information

- **Practice address:** 2201 DOVER RD, HARRISBURG, PA 17112-1003
- **Practice address phone:** (717) 652-5002
- **Practice address fax:** (717) 652-5560
- **Mailing address:** 2201 DOVER RD, HARRISBURG, PA 17112-1003
- **Mailing address phone:** (717) 652-5002
- **Mailing address fax:** (717) 652-5400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS027923L | PA | Yes |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 01/11/2011