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KEYSTONE ORAL SURGERY ASSOCIATES PC
NPI 1518670165
Dentist - Oral and Maxillofacial Surgery in Shamokin Dam, PA

Active since December 28, 2022
30 BALDWIN BLVD STE 95, SHAMOKIN DAM, PA 17876(570) 884-8321(570) 256-1772 Get Directions Write a Review

NPPES record last updated: February 5, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 5, 2023, Dec 28, 2022 (2 updates tracked since 2022).

About Keystone Oral Surgery Associates Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEYSTONE ORAL SURGERY ASSOCIATES PC (NPI 1518670165) is a healthcare organization registered as an oral and maxillofacial surgery in Shamokin Dam, Pennsylvania and active in the NPI registry since December 2022. The organization lists Pranathi Reddy, President, as its authorized official.

NPPES Registry Identity

NPI1518670165
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameKEYSTONE ORAL SURGERY ASSOCIATES PC
Location Address30 BALDWIN BLVD STE 95Shamokin Dam, PA 17876-9520
Mailing Address78 Windsor RdBelle Mead, NJ 08502-5851 · (267) 809-2364
Phone(570) 884-8321
Fax(570) 256-1772
Organization SubpartNo
Authorized OfficialPranathi ReddyPresident · (570) 884-8321
Enumeration DateDecember 28, 2022
Last NPPES UpdateFebruary 5, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2023
✔ NPI 1518670165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
30 BALDWIN BLVD STE 95, Shamokin Dam, PA 17876
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PRANATHI VANGAPALLI REDDY DDS
Dentist (Oral and Maxillofacial Surgery)
30 BALDWIN BLVD STE 95
SHAMOKIN DAM, PA 17876
Snyder County (570) 884-8321
CHARLES VIVEK BANDELA
Dental Assistant
30 BALDWIN BLVD STE 95
SHAMOKIN DAM, PA 17876
Snyder County (267) 809-2364
MANOJ KUMAR REDDY GADE
Dental Assistant
30 BALDWIN BLVD STE 95
SHAMOKIN DAM, PA 17876
Snyder County (267) 809-2364

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keystone Oral Surgery Associates PC's NPI number?

The NPI number for Keystone Oral Surgery Associates PC is 1518670165. It was assigned to this organization in the NPPES registry on December 28, 2022.

Where is Keystone Oral Surgery Associates PC located?

Keystone Oral Surgery Associates PC is located at 30 Baldwin Blvd Ste 95, Shamokin Dam, PA 17876. The listed phone number is (570) 884-8321.

What is Keystone Oral Surgery Associates PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Keystone Oral Surgery Associates PC was last updated on February 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.