Organization
ADAMS ORAL SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JEANETTE SCHEIVERT (OFFICE MANAGER)
(717) 637-5196
Entity
Organization
Contact information
Practice address
455 SOUTH WASHINGTON ST #21, GETTYSBURG, PA 17325
(717) 337-3232
(717) 337-1032
Mailing address
455 SOUTH WASHINGTON ST #21, GETTYSBURG, PA 17325
(717) 337-3232
(717) 337-1032
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS022153L
PA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS030876L
PA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS036801
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AD119905
BLUE SHIELD
—
01
—
R0535979
BLUE SHIELD DR G RONGIONE
—
Enumeration date
10/24/2006
Last updated
07/31/2007
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