ST LUKE'S PHYSICIAN GROUP INC NPI 1033158910

NPI Information

  • NPI: 1033158910
  • Provider Name: ST LUKE'S PHYSICIAN GROUP INC
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Doing Business As: ST. LUKE'S OMS
  • Address: 1521 8TH AVE
    SUITE 100
    BETHLEHEM, PA
    ZIP 18018
  • Phone: (610) 865-8077

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NPI Details

ST LUKE'S PHYSICIAN GROUP INC is an oral and maxillofacial surgery dentist in Bethlehem, PA. The provider is 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. ST LUKE'S PHYSICIAN GROUP INC NPI is 1033158910. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As St. Luke's Oms.

The provider's business location address is:

1521 8TH AVE
SUITE 100
BETHLEHEM, PA
ZIP 18018-865
Phone: (610) 865-8077
Fax: (610) 865-8112

The provider's authorized official is Sue Chiavaroli .
The authorized official title is Enrollment Manager and has the following contact phone number (484) 526-3569.

The enumeration date for this NPI number is 6/6/2006 and was last updated on 9/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

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This page was last updated on: 11/21/2025

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