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DELAWARE VALLEY MAXILLOFACIAL & ORAL SURGERY LLC NPI 1073641148


NPI Information

NPI: 1073641148
Provider Name: DELAWARE VALLEY MAXILLOFACIAL & ORAL SURGERY LLC

Doing Business As: SOUTHEASTERN PA ORAL SURGERY LLC

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
2301 E ALLEGHENY AVE STE 206
PHILADELPHIA, PA
ZIP 19134
Phone: (267) 367-5009
Get Directions

DELAWARE VALLEY MAXILLOFACIAL & ORAL SURGERY LLC is an oral and maxillofacial surgery dentist in Philadelphia, PA. The provider is the specialty of dentistry which includes 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. DELAWARE VALLEY MAXILLOFACIAL & ORAL SURGERY LLC NPI is 1073641148. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Southeastern Pa Oral Surgery Llc.

The provider's business location address is:

2301 E ALLEGHENY AVE STE 206
PHILADELPHIA, PA
ZIP 19134-427
Phone: (267) 367-5009
Fax: (267) 367-5476

The provider's authorized official is Brian M Smith .
The authorized official title is Chairman and has the following contact phone number (215) 707-7138.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 8/13/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.