Organization
THE FACIAL SURGERY CENTER, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD JOHN HALUSIC D.M.D. (OWNER/ORAL, MAXILLOFACIAL SURGEON)
(724) 547-0999
Entity
Organization
Contact information
Practice address
6545 ROUTE 819 STE 100, MT PLEASANT, PA 15666-2665
(724) 547-0999
(724) 547-5345
Mailing address
6545 ROUTE 819 STE 100, MT PLEASANT, PA 15666-2665
(724) 547-0999
(724) 547-5345
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS021856
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044331
HIGHMARK BLUE SHIELD
PA
Enumeration date
03/18/2008
Last updated
07/06/2009
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