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NPI Code Detail

MEDICARE: DR. MIN HEE SUR DMD, MD

MEDICARE: DR. MIN HEE SUR DMD, MD
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)30.028278OH
21223S0112XOral and Maxillofacial Surgery (Dentist)DS045517PA
31223S0112XOral and Maxillofacial Surgery (Dentist)060616NY
41223S0112XOral and Maxillofacial Surgery (Dentist)4835WV

General Provider Information

NPI Number : 1801136106
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MIN HEE SUR DMD, MD
Provider Business Mailing Address
First Line : 7000 PENDLETON WAY APT 7203
Second Line :
City : CRANBERRY TWP
State : PA
Zip : 16066-6959
Country : US
Telephone Number : 215-275-4586
Fax Number :
Provider Business Practice Location Address
First Line : 7372 MCKNIGHT RD STE B
Second Line :
City : PITTSBURGH
State : PA
Zip : 15237-3558
Country : US
Telephone Number : 412-364-6440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2013
Last Update Date : 03/11/2026

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