Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Keystone Oral Surgery Associates PC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1518670165

Keystone Oral Surgery Associates PC is an Oral and Maxillofacial Surgery (Dentist) in Shamokin Dam, Pennsylvania. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

30 Baldwin Blvd Ste 95
Shamokin Dam, PA 17876-9520
Phone: (570) 884-8321
Fax: (570) 256-1772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1518670165
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pranathi Reddy — President · (570) 884-8321
NPI enumeratedDecember 28, 2022
Last updated in NPPESFebruary 5, 2023
Certification dateFebruary 5, 2023
Mailing address78 Windsor Rd, Belle Mead, NJ 08502-5851

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