Active NPI
Susquehanna Oral & Maxillofacial Surgery
- Oral and Maxillofacial Surgery (Dentist)
- York, PA
National Provider Identifier
1851370217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- SUSQUEHANNA ORAL & MAXILLOFACIAL SURGERY
- Practice address
- 2210 East Market St
York, PA 17402 - Phone
- (717) 755-9695
- Fax
- (717) 757-2274
- NPI assigned
- Jan 13, 2006
- Last updated
- Aug 22, 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
- Mrs. Joanne M Dickerson
- Title
- Practice Administrator
- Phone
- (717) 755-9695
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
2210 East Market St
York, PA 17402
Mailing address
2210 East Market St
York, PA 17402
Phone (717) 755-9695
National Provider Directory
National Provider DirectoryLocations
2251 Eastern Blvd
Ste 102
York, PA 17402
Phone (717) 559-9695
2210 E Market St
York, PA 17402
Phone (717) 755-9695
2990 Eastern Blvd
York, PA 17402
Phone (717) 755-9695
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Elkridge, MD
- NPI 1548753502
-
- Surgery Physician
- Sayre, PA
- NPI 1407376379
Oral and Maxillofacial Surgery
-
- Oral and Maxillofacial Surgery (Dentist)
- York, PA
- NPI 1700877214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1851370217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2210 EAST MARKET ST",
"city": "YORK",
"state": "PA",
"postal_code": "17402",
"telephone_number": "717-755-9695",
"fax_number": "717-757-2274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 EAST MARKET ST",
"city": "YORK",
"state": "PA",
"postal_code": "17402",
"telephone_number": "717-755-9695",
"fax_number": "717-757-2274"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSQUEHANNA ORAL & MAXILLOFACIAL SURGERY",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DICKERSON",
"authorized_official_first_name": "JOANNE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "717-755-9695",
"authorized_official_name_prefix": "Mrs."
},
"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 York, PA
- Jacques L Surer, Jr., D.O.
- Sarah Surgeoner, PA-C
- Surgical Center of York, Inc
- Surgical Specialists of York LTD
- Surinder Vohra MDPC
- Susquehanna Valley Chiropractic and Rehabilitation
- Susquehanna Valley Women's Health Care PC (The Women's Healthcare Group)
- Elizabeth Grace Svolto-Patterson, LCSW
- Lisa Marie Swank, R.N.
- Angela Nichole Swann, RN BSN SANE-A SANE-P
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.