Active NPI
Keystone Oral and Maxillofacial Surgery, P.C.
- Oral and Maxillofacial Surgery (Dentist)
- Greensburg, PA
National Provider Identifier
1104466028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- KEYSTONE ORAL AND MAXILLOFACIAL SURGERY, P.C.
- Practice address
- 560 Rugh St Ste 100
Greensburg, PA 15601-5601 - Phone
- (878) 295-8322
- Fax
- (878) 295-8323
- NPI assigned
- Jan 8, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeffrey Garcia, DDS
- Title
- President
- Phone
- (878) 295-8322
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
560 Rugh St Ste 100
Greensburg, PA 15601-5601
Mailing address
560 Rugh St Ste 100
Greensburg, PA 15601-5601
Phone (878) 295-8322
National Provider Directory
National Provider DirectoryLocations
560 Rugh St
Ste 100
Greensburg, PA 15601
Phone (412) 538-0010
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Greensburg, PA
- NPI 1154683050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578441600000",
"number": "1104466028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 RUGH ST STE 100",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156015601",
"telephone_number": "878-295-8322",
"fax_number": "878-295-8323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 RUGH ST STE 100",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156015601",
"telephone_number": "878-295-8322",
"fax_number": "878-295-8323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEYSTONE ORAL AND MAXILLOFACIAL SURGERY, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-08",
"last_updated": "2020-01-08",
"certification_date": "2020-01-08",
"status": "A",
"authorized_official_last_name": "GARCIA",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "878-295-8322",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.