Organization
ASSOCIATED ORAL SURGEONS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN EDWARD IRWIN DMD (PRESIDENT)
(570) 286-1631
Entity
Organization
Contact information
Practice address
317 NORTH ELEVENTH STREET, SUNBURY, PA 17801
(570) 286-1631
(570) 286-0595
Mailing address
317 NORTH ELEVENTH STREET, SUNBURY, PA 17801
(570) 286-1631
(570) 286-0595
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22936
HEATHAM HEALTH ASSURANCE
PA
01
—
50002525
CAPITAL BLUE CROSS
PA
Enumeration date
11/27/2006
Last updated
08/22/2020
Update your record
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