Montco Oral and Maxillofacial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS024305 Issued in PA

Legal business name

MONTCO ORAL AND MAXILLOFACIAL SURGERY

Practice address

545 W Main St
Suite 24
Trappe, PA 19426-1981

Phone

(610) 489-0525

Fax

(610) 489-4720

NPI assigned

Jan 15, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Mary E Lukas

Title

Office Manager

Phone

(610) 489-0525

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Patrick Sheeran, DMD

  • Oral and Maxillofacial Pathology Dentistry
  • Collefeville, PA
  • NPI 1902854839
  Medicare reassignment NPD
• John David Bradford II, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Havertown, PA
  • NPI 1750328498
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1043496599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 W MAIN ST",
            "address_2": "SUITE 24",
            "city": "TRAPPE",
            "state": "PA",
            "postal_code": "194261981",
            "telephone_number": "610-489-0525",
            "fax_number": "610-489-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 W MAIN ST",
            "address_2": "SUITE 24",
            "city": "TRAPPE",
            "state": "PA",
            "postal_code": "194261981",
            "telephone_number": "610-489-0525",
            "fax_number": "610-489-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTCO ORAL AND MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "LUKAS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "610-489-0525",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS024305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Martin
• Elaine McKinney, LPC
• Rosemaria McLaughlin
• Erin McCarthy McMonagle, MA, MS, NCC
• Laurie Melniczek, LMT
• Kathy Lynn Muhlenberg, LPC
• Myeyedr Optometry of Pennsylvania, LLC
• Nestled Mind Counseling
• David Newman, D.C.
• Phyllis Osisek

• Oral and Maxillofacial Surgery (Dentist) in Trappe, PA
• Providers in Trappe, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.