MEDICARE: OAK VALLEY MEDICAL & DENTAL, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1447493457
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OAK VALLEY MEDICAL & DENTAL, PC

Provider Business Mailing Address
First Line	:	100 SPRING VALLEY RD
Second Line	:
City	:	FARMINGTON
State	:	PA
Zip	:	15437-1390
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	103 NEW MEADOW RUN DR
Second Line	:
City	:	FARMINGTON
State	:	PA
Zip	:	15437-1391
Country	:	US
Telephone Number	:	724-749-1517
Fax Number	:

Authorized Official
Title or Position	:	BOARD MEMBER
Name	:	SUZANNE Y CAMPBELL
Credential	:	DDS
Telephone Number	:	845-658-7763

Provider Enumeration Date	:	04/07/2009
Last Update Date	:	01/13/2022

Similar Medicare Providers

1780661595 — ANNELI K BOLLER DDS
Practice Location Address:

103 NEW MEADOW RUN DR
FARMINGTON, PA
15437-1391

Practice Phone: 845-481-7014
Practice Fax: 724-329-0942

1740267558 — OAK VALLEY MEDICAL & DENTAL, PC
Practice Location Address:

103 NEW MEADOW RUN DR
FARMINGTON, PA
15437-1391

Practice Phone: 724-329-8689
Practice Fax: 724-329-1230

1366734469 — VERONA MARIE BOLLER MD
Practice Location Address:

101 NEW MEADOW RUN DR , ROUTE 40 EAST
FARMINGTON, PA
15437-1391

Practice Phone: 724-329-8689
Practice Fax: 724-329-1230

1255759262 — ARTHUR WISER MD
Practice Location Address:

101 NEW MEADOW RUN DR DEPT OF
FARMINGTON, PA
15437-1391

Practice Phone: 724-329-8689
Practice Fax:

1760282925 — MARYA MOMMSEN RDH
Practice Location Address:

103 NEW MEADOW RUN DR
FARMINGTON, PA
15437-1391

Practice Phone: 724-749-1517
Practice Fax:

1902773120 — ESTHER L. BOLLER
Practice Location Address:

103 NEW MEADOW RUN DR
FARMINGTON, PA
15437-1391

Practice Phone: 724-329-8689
Practice Fax:

Directions to “OAK VALLEY MEDICAL & DENTAL, PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.