EAGLES ORAL SURGERY (NPI# 1104457191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104457191 |
| Entity Type | Organization |
| Organization Name | EAGLES ORAL SURGERY |
| Practice Address |
5106 Allentown Pike Temple PA 19560-1212 |
| Mailing Address |
1301 Penn Ave Wyomissing PA 19610-2140 |
| Practice Telephone | 4847731717 |
| Practice Fax Number | 4847731717 |
| Mailing Telephone | 4847731717 |
| Mailing Fax Number | 4847731717 |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2020-01-29 |
| Authorized Official Name | MEGAN SHANK (QUALITY CONTROL MANAGER) |
| Authorized Official Telephone | 6103726313 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942831904 | Eagles Oral Surgery | Dentist | 525 W Main St Ste 11, Trappe, PA 19426-1923 | 2020-01-29 |
| 1376174862 | Eagles Oral Surgery | Dentist | 1425 Penn Ave, Wyomissing, PA 19610-2133 | 2020-02-03 |
| 1265063259 | Eagles Oral Surgery | Dentist | 4744 Penn Ave, Reading, PA 19608-9672 | 2020-01-29 |
| 1114558103 | Eagles Oral Surgery | Dentist | 1001 S 4th St, Hamburg, PA 19526-9211 | 2020-01-29 |
| 1720619612 | Eagles Oral Surgery | Dentist | 1037 E Philadelphia Ave, Gilbertsville, PA 19525-9516 | 2020-01-29 |
| 1508497587 | Eagles Oral Surgery | Dentist | 620 Kenhorst Plz, Reading, PA 19607-3648 | 2020-01-29 |
| 1508497579 | Eagles Oral Surgery | Dentist | 1301 Penn Ave, Wyomissing, PA 19610-2140 | 2020-01-29 |
| 1730710716 | Eagles Oral Surgery | Dentist | 5500 Perkiomen Ave, Reading, PA 19606-3634 | 2020-01-29 |
| 1811528870 | Eagles Oral Surgery | Dentist | 1867 E High St, Pottstown, PA 19464-3294 | 2020-01-29 |
| 1922639822 | Eagles Oral Surgery | Dentist | 1030 Lititz Pike, Lititz, PA 17543-9328 | 2020-01-29 |
| Street Address |
5106 ALLENTOWN PIKE |
| City | TEMPLE |
| State | PA |
| Zip Code | 19560-1212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568731784 | Amdent Ltd | Dentist | 5106 Allentown Pike, Temple, PA 19560-1212 | 2011-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760911127 | Willie Marvin Hutchinson | Counselor | 1017 Highview Court, Temple, PA 19560 | 2017-06-08 |
| 1295981082 | Giant Food Stores, LLC | Durable Medical Equipment & Medical Supplies | 4320 N. 5th Street Hwy, Temple, PA 19560 | 2008-08-12 |
| 1174691802 | Donna Marie Di Jinio | Dentist | 4729 Kutztown Road, Temple, PA 19560 | 2006-12-01 |
| 1437176252 | Muhlenberg Medical Associates | Internal Medicine | 4201 Kutztown Road, Temple, PA 19560 | 2006-07-16 |
| 1407839368 | Sailaja Musunuri | Psychiatry & Neurology | 8th Avenue & Hay Rd, Kidspeace National Centers Berks Campus, Temple, PA 19560 | 2005-11-23 |
| 1437625530 | Kelsey Sara Reich | Specialist/Technologist | 400 Sharp Ave, Laureldale, PA 19560 | 2018-10-17 |
| 1467597161 | Kidspeace National Centers, Inc. | Nursing Care | 704 Hay Rd, Temple, PA 19560 | 2007-02-20 |
| 1386710432 | Brian S Klee Dpm | Podiatrist | 4148 Kutztown Rd, Temple, PA 19560 | 2006-11-28 |
| 1932207875 | Lawrence Capozello | Podiatrist | 4148 Kutztown Rd, Temple, PA 19560 | 2006-09-21 |
| 1528021284 | Richard P Christoph | Optometrist | 5370 Allentown Pike, Inside Wal-mart Vision Ctr., Temple, PA 19560-1200 | 2006-04-11 |
| Find all providers in zip 19560 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033293568 | Todd Larry Evans | Dentist | 5246 S 31st St, Temple, TX 76502-3513 | 2006-10-24 |
| 1033720065 | Waterford Oral Surgery | Dentist | 5246 S 31st St, Temple, TX 76502-3513 | 2020-08-13 |
| 1760497028 | Thomas Ray Rogers | Dentist | 1901 S 1st St, Dental Department, Temple, TX 76504-7451 | 2006-07-29 |
| 1861457996 | Joseph R. Raub Jr. | Dentist | 2401 S 31st St, Temple, TX 76508-0001 | 2006-04-20 |
| 1205898582 | Geraldine A. Koehler | Dentist | 2401 S 31st St, Temple, TX 76508-0001 | 2006-04-04 |
| 1659332351 | Lance A. Read | Dentist | 2401 S 31st St, Temple, TX 76508-0001 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074037 | Kingsbury Oral and Maxillofacial Surgery, PC | Dentist | 1 Presidential Blvd Ste 207, Bala Cynwyd, PA 19004-1007 | 2020-08-17 |
| 1679183990 | Always Precision Dental PC | Dentist | 1023 King Way, Breinigsville, PA 18031-1482 | 2020-08-02 |
| 1447874490 | Peace Dental Associates | Dentist | 35 S 2nd Ave, Clarion, PA 16214-1934 | 2020-06-05 |
| 1528689270 | New Hope Oral Surgery and Implant Center | Dentist | 6660 Old York Rd, New Hope, PA 18938 | 2020-05-05 |
| 1942831904 | Eagles Oral Surgery | Dentist | 525 W Main St Ste 11, Trappe, PA 19426-1923 | 2020-01-29 |
| 1104466028 | Keystone Oral and Maxillofacial Surgery, P.C. | Dentist | 560 Rugh St Ste 100, Greensburg, PA 15601-5601 | 2020-01-08 |
| 1245889740 | Oral & Facial Surgery of Pittsburgh, P.C. | Dentist | 180 Swinderman Rd Ste 260, Wexford, PA 15090-5620 | 2019-09-06 |
| 1528626124 | Christopher Yi | Dentist | 900 Walnut St Rm 300, Philadelphia, PA 19107-5191 | 2019-05-30 |
| 1275091886 | Gary M Carmassi Dmd | Dentist | 8650 Babcock Blvd Ste 3, Pittsburgh, PA 15237-5009 | 2019-03-04 |
| 1073093233 | Ban Oral and Facial Surgical Associates LLC | Dentist | 4725 Mcknight Rd Ste 209, Pittsburgh, PA 15237-3414 | 2018-08-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.