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BRANDYWINE VALLEY ORAL & MAXIOLLOFACIAL SURGERY NPI 1568563088


NPI Information

NPI: 1568563088
Provider Name: BRANDYWINE VALLEY ORAL & MAXIOLLOFACIAL SURGERY

Other Name: BVOMS

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
5279 LINCOLN HWY
GAP, PA
ZIP 17527
Phone: (717) 442-9537
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BRANDYWINE VALLEY ORAL & MAXIOLLOFACIAL SURGERY is an oral and maxillofacial surgery dentist in Gap, 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. BRANDYWINE VALLEY ORAL & MAXIOLLOFACIAL SURGERY NPI is 1568563088. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Bvoms.

The provider's business location address is:

5279 LINCOLN HWY
GAP, PA
ZIP 17527-427
Phone: (717) 442-9537
Fax: (717) 442-8311

The provider's authorized official is Robert D Whitley .
The authorized official title is Owner/doctor and has the following contact phone number (717) 442-9537.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 8/22/2020.


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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102628400OTHERPENNSYLVANIACAPITAL BLUE CROSS
2200631OTHERPENNSYLVANIAKEYSTONE CENTRAL
30132579000OTHERPENNSYLVANIAKEYSTONE EAST

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: 4/28/2024

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