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Organization

HECHT ORAL AND MAXILLOFACIAL SURGERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYNN MCHENRY (OFFICE MANAGER)
(717) 530-1120
Entity
Organization

Contact information

Practice address
127 WALNUT BOTTOM RD, SHIPPENSBURG, PA 17257-8131
(717) 530-1120
(717) 530-5184
Mailing address
127 WALNUT BOTTOM RD, SHIPPENSBURG, PA 17257-8131
(717) 530-1120
(717) 530-5185

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0014332960003
PA
01
02534800
KEYSTONE HEALTH PLAN CENT
01
116673
UNITED CONCORDIA
01
332794
HEALTH AMERICA
01
548740
AETNA US HEALTH CARE
Enumeration date
02/12/2007
Last updated
02/14/2022
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