Organization
POTTSTOWN ORAL & MAXILLOFACIAL SURGERY ASSOC. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL G SMITH DMD (PRESIDENT)
(610) 326-7880
Entity
Organization
Contact information
Practice address
500 HERITAGE DR, POTTSTOWN, PA 19464-3233
(610) 326-7880
(610) 326-5491
Mailing address
500 HERITAGE DR, POTTSTOWN, PA 19464-3233
(610) 326-7880
(610) 326-5491
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001362
DORAL DENTAL
PA
01
—
0048321000
KEYSTONE
PA
01
—
03208400
CAPITAL BLUE CROSS
PA
01
—
126482
PERSONAL CHOICE
PA
01
—
5057
AETNA HMO
PA
01
—
PO126482
HIGHMARK
PA
Enumeration date
06/10/2005
Last updated
04/12/2024
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