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MAINLINE CENTER FOR ORAL & FACIAL SURGERY LTD NPI 1912951138


NPI Information

NPI: 1912951138
Provider Name: MAINLINE CENTER FOR ORAL & FACIAL SURGERY LTD
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
21 INDUSTRIAL BLVD
#100
PAOLI, PA
ZIP 19301
Phone: (610) 644-6497
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MAINLINE CENTER FOR ORAL & FACIAL SURGERY LTD is an oral and maxillofacial surgery dentist in Paoli, 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. MAINLINE CENTER FOR ORAL & FACIAL SURGERY LTD NPI is 1912951138. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

21 INDUSTRIAL BLVD
#100
PAOLI, PA
ZIP 19301
Phone: (610) 644-6497
Fax: (610) 644-6622

The provider's authorized official is Henry M Rambo .
The authorized official title is Ceo President and has the following contact phone number (610) 644-6497.

The enumeration date for this NPI number is 5/20/2006 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial SurgeryDS023677LPENNSYLVANIANo
21223S0112XDentistOral and Maxillofacial SurgeryDS0277729LPENNSYLVANIANo
31223S0112XDentistOral and Maxillofacial SurgeryDS017526LPENNSYLVANIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10089457000OTHERPENNSYLVANIAIBC
2151610OTHERPENNSYLVANIAHIGHMARK

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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