Organization · Type 2 NPI

Delaware Valley Maxillofacial & Oral Surgery LLC

Oral and Maxillofacial Surgery (Dentist) · Philadelphia, PA

NPI number 1073641148 Active

Practice location

2301 E Allegheny Ave Ste 206
Philadelphia, PA 19134-4427

Call (267) 367-5009 Map

Fax (267) 367-5476

Mailing address

100 E Lehigh Ave, PM2
Philadelphia, PA 19125-1012

Other practice locations

100 E Lehigh Ave, PM2, Philadelphia, PA 19125-1012 · (215) 707-7138

Specialties and licenses

Taxonomy	Code	License
Oral and Maxillofacial Surgery (Dentist) Primary	1223S0112X	None listed

Oral and Maxillofacial Surgery (Dentist): 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.

4 other providers at this address

Other oral and maxillofacial surgery (dentist) providers in Philadelphia

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NPI record

NPI: 1073641148
Entity type: Organization (Type 2)
Issued: Mar 1, 2007
Last updated: Aug 13, 2020
Status: Active

Other names

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Southeastern PA Oral Surgery LLC · doing business as
Southeastern PA Oral Surgery LLC · doing business as

Authorized official

Dr. Brian M Smith, DMD
Chairman
(215) 707-7138

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About NPI 1073641148

Delaware Valley Maxillofacial & Oral Surgery LLC's National Provider Identifier is 1073641148, issued on Mar 1, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 13, 2020.