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NPI Code Detail

MEDICARE: DR. JOHN ALEXANDER HLAUDY D.M.D.

MEDICARE: DR. JOHN ALEXANDER HLAUDY D.M.D.
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
11223S0112XOral and Maxillofacial Surgery (Dentist)DS036480PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1DS036480OTHERPALICENSE

General Provider Information

NPI Number : 1568438356
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN ALEXANDER HLAUDY D.M.D.
Provider Business Mailing Address
First Line : 505 POPLAR ST
Second Line :
City : MEADVILLE
State : PA
Zip : 16335-3057
Country : US
Telephone Number : 814-373-3032
Fax Number : 814-373-3035
Provider Business Practice Location Address
First Line : 505 POPLAR ST
Second Line :
City : MEADVILLE
State : PA
Zip : 16335-3057
Country : US
Telephone Number : 814-373-3032
Fax Number : 814-373-3035
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2006
Last Update Date : 04/30/2024

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