| Organization Name: | QUAD COUNTY ORAL & MAXILLOFACIAL SURGERY |
| NPI Number: | 1033283841 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES PAUL MILLER (OWNER PRESIDENT) |
| Mailing Address: | 114 East Dimond St Butler |
| State: | PA US |
| Postal Code: | 160015906 |
| Phone Number: | 7242826100 |
| Fax Number: | 7242827701 |
| NPI Enumeration Date: | 11/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204E00000X |
| License Number: | DS029596L |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Oral & Maxillofacial Surgery |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |