Provider Demographics
NPI:1861269268
Name:ORAL SURGERY ASSOCIATES OF LEBANON
Entity type:Organization
Organization Name:ORAL SURGERY ASSOCIATES OF LEBANON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:F
Authorized Official - Last Name:GEIGER
Authorized Official - Suffix:III
Authorized Official - Credentials:DDS
Authorized Official - Phone:717-273-3541
Mailing Address - Street 1:735 NORMAN DR STE A
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17042-7559
Mailing Address - Country:US
Mailing Address - Phone:717-273-3541
Mailing Address - Fax:
Practice Address - Street 1:735 NORMAN DR STE A
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17042-7559
Practice Address - Country:US
Practice Address - Phone:717-273-3541
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0112XAmbulatory Health Care FacilitiesClinic/CenterOral and Maxillofacial Surgery