Provider Demographics
NPI:1619908803
Name:CARBON ORAL SURGERY ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:CARBON ORAL SURGERY ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:L
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:610-377-1942
Mailing Address - Street 1:1080 BLAKESLEE BOULEVARD DR E
Mailing Address - Street 2:ROUTE 443
Mailing Address - City:LEHIGHTON
Mailing Address - State:PA
Mailing Address - Zip Code:18235-8753
Mailing Address - Country:US
Mailing Address - Phone:610-377-1942
Mailing Address - Fax:610-377-3070
Practice Address - Street 1:1080 BLAKESLEE BOULEVARD DR E
Practice Address - Street 2:ROUTE 443
Practice Address - City:LEHIGHTON
Practice Address - State:PA
Practice Address - Zip Code:18235-8753
Practice Address - Country:US
Practice Address - Phone:610-377-1942
Practice Address - Fax:610-377-3070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS026197L1223S0112X
PADS021514L1223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACA524925OtherBLUE SHIELD GROUP #
PAHO185003OtherDR. HOFFMAN'S BLUE SHIELD
PAMC977121OtherDR. MCLAUGHLIN'S BS#
PAT30004Medicare UPIN
PACA524925OtherBLUE SHIELD GROUP #
PA185003JAWMedicare ID - Type UnspecifiedDR. HOFFMAN'S MEDICARE
PAMC977121OtherDR. MCLAUGHLIN'S BS#