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SHINE ORAL AND FACIAL SURGERY ASSOCIATES P.C NPI 1669894325


NPI Information

NPI: 1669894325
Provider Name: SHINE ORAL AND FACIAL SURGERY ASSOCIATES P.C
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
400 N BUCKSTOWN RD
SUITE 2A
LANGHORNE, PA
ZIP 19047
Phone: (215) 750-0200
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SHINE ORAL AND FACIAL SURGERY ASSOCIATES P.C is an oral and maxillofacial surgery dentist in Langhorne, 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. SHINE ORAL AND FACIAL SURGERY ASSOCIATES P.C NPI is 1669894325. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

400 N BUCKSTOWN RD
SUITE 2A
LANGHORNE, PA
ZIP 19047-310
Phone: (215) 750-0200
Fax: (215) 750-1067

The provider's authorized official is Saman Souri .
The authorized official title is President and has the following contact phone number (917) 701-3581.

The enumeration date for this NPI number is 1/15/2014 and was last updated on 1/15/2014.


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 SurgeryDS038427PENNSYLVANIAYes

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: 5/5/2024

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