EASTERN SHORE ENT & ALLERGY NPI 1154308021

NPI Information

  • NPI: 1154308021
  • Provider Name: EASTERN SHORE ENT & ALLERGY
  • Classification: Otolaryngology - 207YX0007X
  • Specialization: Plastic Surgery within the Head & Neck
  • Entity Type: Organization
  • Address: 106 MILFORD ST
    SUITE 101
    SALISBURY, MD
    ZIP 21804
  • Phone: (410) 742-1908

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NPI Details

EASTERN SHORE ENT & ALLERGY is a plastic surgery within the head and neck otolaryngology in Salisbury, MD. The provider is an otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. EASTERN SHORE ENT & ALLERGY NPI is 1154308021. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

106 MILFORD ST
SUITE 101
SALISBURY, MD
ZIP 21804-953
Phone: (410) 742-1908

The provider's authorized official is Crystal Lee Oneal .
The authorized official title is Billing and has the following contact phone number (410) 742-1567.

The enumeration date for this NPI number is 12/30/2005 and was last updated on 12/9/2025.

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
1207YX0007XOtolaryngologyPlastic Surgery within the Head & NeckYes

What is NPI?

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

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