Organization
ORAL AND MAXILLOFACIAL SURGERY INNOVATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY PEPPER DMD (OWNER)
(717) 909-0530
Entity
Organization
Contact information
Practice address
4700 UNION DEPOSIT RD, SUITE 260, HARRISBURG, PA 17111-3774
(717) 909-3239
(717) 909-3242
Mailing address
4700 UNION DEPOSIT RD, SUITE 260, HARRISBURG, PA 17111-3774
(717) 909-3239
(717) 909-3242
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/11/2006
Last updated
07/30/2020
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