Organization
CENTRAL PA ORAL AND MAXILLOFACIAL SURGEONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMI HAMMAKER (FINANCIAL/INSURANCE MANAGER)
(717) 909-3239
Entity
Organization
Contact information
Practice address
4700 UNION DEPOSIT RD, SUITE 260, HARRISBURG, PA 17111-3774
(717) 540-1777
(717) 540-6857
Mailing address
4700 UNION DEPOSIT RD, SUITE 260, HARRISBURG, PA 17111-3774
(717) 540-1777
(717) 540-6857
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS020467L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02438800
CB PROVIDER ID NUMBER
PA
01
—
484988
AETNA PROVIDER NUMBER
PA
Enumeration date
03/29/2006
Last updated
08/07/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us