Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
OAK VALLEY MEDICAL & DENTAL, PC
Active
Organization
OAK VALLEY MEDICAL & DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VERONA M BOLLER MD (PRESIDENT)
(724) 329-8573
Entity
Organization
Contact information
Practice address
103 NEW MEADOW RUN DR, FARMINGTON, PA 15437-1391
(724) 329-8689
(724) 329-1230
Mailing address
103 NEW MEADOW RUN DR, FARMINGTON, PA 15437-1391
(724) 329-8573
(724) 329-1230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024882
CLIA STATE
PA
05
—
102283015-0002
—
PA
01
—
39D0925139
CLIA FEDERAL
—
Enumeration date
12/22/2005
Last updated
10/07/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up