Provider Demographics
NPI:1467578914
Name:CENTRAL PENNSYLVANIA ORAL & MAXILLOFACIAL SURGEONS LLC
Entity Type:Organization
Organization Name:CENTRAL PENNSYLVANIA ORAL & MAXILLOFACIAL SURGEONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:MEYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-967-7000
Mailing Address - Street 1:220 CUMBERLAND PKWY
Mailing Address - Street 2:SUITE 6
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-5683
Mailing Address - Country:US
Mailing Address - Phone:717-697-7000
Mailing Address - Fax:717-697-5908
Practice Address - Street 1:220 CUMBERLAND PKWY
Practice Address - Street 2:SUITE 6
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-5683
Practice Address - Country:US
Practice Address - Phone:717-697-7000
Practice Address - Fax:717-697-5908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS019840L261QS0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0112XAmbulatory Health Care FacilitiesClinic/CenterOral and Maxillofacial Surgery