Organization
ELEVATED ORAL & IMPLANT SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEGHAN DEISROTH BARRONER D.M.D. (PRESIDENT, OWNER)
(724) 260-5009
Entity
Organization
Contact information
Practice address
1131 BOYCE RD, SUITE A, UPPER ST CLAIR, PA 15241-3927
(724) 260-5009
(724) 299-3154
Mailing address
1131 BOYCE RD, SUITE A, UPPER ST CLAIR, PA 15241-3927
(724) 260-5009
(724) 299-3154
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
207L00000X
Anesthesiology Physician
—
—
Other
Enumeration date
10/05/2016
Last updated
04/04/2024
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