MEDICARE: SNYDER & DUGAN ORAL & MAXILLOFACIAL SURGERY P C

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	207L00000X	Anesthesiology Physician
2	1223S0112X	Oral and Maxillofacial Surgery (Dentist)

General Provider Information

NPI Number	:	1912963737
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SNYDER & DUGAN ORAL & MAXILLOFACIAL SURGERY P C

Provider Business Mailing Address
First Line	:	9401 MCKNIGHT RD
Second Line	:	SUITE 201
City	:	PITTSBURGH
State	:	PA
Zip	:	15237-6000
Country	:	US
Telephone Number	:	412-366-2090
Fax Number	:	412-366-3477

Provider Business Practice Location Address
First Line	:	9401 MCKNIGHT RD
Second Line	:	SUITE 201
City	:	PITTSBURGH
State	:	PA
Zip	:	15237-6000
Country	:	US
Telephone Number	:	412-366-2090
Fax Number	:	412-366-3477

Authorized Official
Title or Position	:	ACCOUNTS RECEIVABLE COORDINATOR
Name	:	MRS. JOYCE PERRY
Credential	:
Telephone Number	:	412-366-2090

Provider Enumeration Date	:	04/21/2006
Last Update Date	:	05/07/2012

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