Provider Demographics
NPI:1497927008
Name:JOHN A HLAUDY DMD, ORAL AND MAXILLOFACIAL SURGERY, PC
Entity Type:Organization
Organization Name:JOHN A HLAUDY DMD, ORAL AND MAXILLOFACIAL SURGERY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:HLAUDY
Authorized Official - Suffix:JR
Authorized Official - Credentials:DMD
Authorized Official - Phone:814-373-3032
Mailing Address - Street 1:505 POPLAR STREET
Mailing Address - Street 2:SUITE 308
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-3057
Mailing Address - Country:US
Mailing Address - Phone:814-373-3032
Mailing Address - Fax:814-373-3035
Practice Address - Street 1:505 POPLAR STREET
Practice Address - Street 2:SUITE 308
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-3057
Practice Address - Country:US
Practice Address - Phone:814-373-3032
Practice Address - Fax:814-373-3035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-24
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS036480261QS0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0112XAmbulatory Health Care FacilitiesClinic/CenterOral and Maxillofacial Surgery