Organization Active NPI

Conestoga Oral and Maxillofacial Surgery LTD

  • Specialist
  • Lancaster, PA
National Provider Identifier
1932290731
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CONESTOGA ORAL AND MAXILLOFACIAL SURGERY LTD
Practice address
190 Good Drive
Lancaster, PA 17603
Phone
(717) 394-3033
Fax
(717) 394-5378
NPI assigned
Sep 27, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Susan Scott
Title
Office Mangager
Phone
(717) 394-5516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PA Primary

Addresses

Primary practice location

190 Good Drive
Lancaster, PA 17603

Mailing address

190 Good Drive
Lancaster, PA 17603
Phone (717) 394-3033

National Provider Directory

National Provider Directory

Locations

8194 Adams Dr
Hummelstown, PA 17036
Phone (717) 394-3033

190 Good Dr
Lancaster, PA 17603
Phone (717) 394-3033

2310 Rothsville Rd
Lititz, PA 17543
Phone (717) 394-3033

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.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1932290731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 GOOD DRIVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17603",
            "telephone_number": "717-394-3033",
            "fax_number": "717-394-5378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 GOOD DRIVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "17603",
            "telephone_number": "717-394-3033",
            "fax_number": "717-394-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONESTOGA ORAL AND MAXILLOFACIAL SURGERY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OFFICE MANGAGER",
        "authorized_official_telephone_number": "717-394-5516",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.