Provider Demographics
NPI:1063476737
Name:CRAIG LAHAR DMD ORAL & MAXILLOFACIAL SURGERY PC
Entity Type:Organization
Organization Name:CRAIG LAHAR DMD ORAL & MAXILLOFACIAL SURGERY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:LAHAR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:717-697-6020
Mailing Address - Street 1:200 CUMBERLAND PARKWAY
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055
Mailing Address - Country:US
Mailing Address - Phone:717-697-6020
Mailing Address - Fax:717-697-0263
Practice Address - Street 1:200 CUMBERLAND PARKWAY
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055
Practice Address - Country:US
Practice Address - Phone:717-697-6020
Practice Address - Fax:717-697-0263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PADS027134LOtherLICENSE
PADA027134AOtherLICENSE
PADA027134AOtherLICENSE
T92421Medicare UPIN