# WALTZ CENTER FOR ORAL SURGERY & IMPLANTOLOGY, PC

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

## Provider details

- **NPI number:** 1972987550
- **Authorized official:** DR. RIBERT LEWIS WALTZ JR. DMD (OWNER/SURGEON)
- **Authorized official phone:** (717) 227-9959

## Contact information

- **Practice address:** 16327 MOUNT AIRY RD, SHREWSBURY, PA 17361-1624
- **Practice address phone:** (717) 227-9959
- **Practice address fax:** (717) 227-1262
- **Mailing address:** 16327 MOUNT AIRY RD, SHREWSBURY, PA 17361-1624
- **Mailing address phone:** (717) 227-9959
- **Mailing address fax:** (717) 227-1262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS023711L | PA | Yes |

## Other

- **Enumeration date:** 07/14/2015
- **Last updated:** 08/03/2015