Organization Active NPI

Mid-Penn Oral & Maxillofacial Surgery, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Harrisburg, PA
National Provider Identifier
1699808410
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS027923L Issued in PA
Legal business name
MID-PENN ORAL & MAXILLOFACIAL SURGERY, PC
Practice address
2201 Dover Rd
Harrisburg, PA 17112-1003
Phone
(717) 652-5002
Fax
(717) 652-5560
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Authorized official

Name
Dr. Jeffrey Lee Rajchel, DDSNPI 1992765184
Title
Owner
Phone
(717) 652-5002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X DS027923L PA Primary

Addresses

Primary practice location

2201 Dover Rd
Harrisburg, PA 17112-1003

Mailing address

2201 Dover Rd
Harrisburg, PA 17112-1003
Phone (717) 652-5002

National Provider Directory

National Provider Directory

Locations

2805 Old Post Rd
Ste 100
Harrisburg, PA 17110
Phone (717) 652-5002

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1699808410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 DOVER RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121003",
            "telephone_number": "717-652-5002",
            "fax_number": "717-652-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 DOVER RD",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121003",
            "telephone_number": "717-652-5002",
            "fax_number": "717-652-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-PENN ORAL & MAXILLOFACIAL SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "RAJCHEL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-652-5002",
        "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": "PA",
            "license": "DS027923L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.