Individual
DR. STEPHEN L ENGROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD DDS
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
DS035655
PA
1223P0106X
Oral and Maxillofacial Pathology Dentistry
MD422877
PA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS035655
PA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
MD422877
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
79677
GEISINGER HEALTH PLAN
—
01
—
EN1480132
HIGHMARK
—
Enumeration date
07/07/2006
Last updated
09/12/2023
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