Organization · Type 2 NPI

Lehigh Valley Oral Surgery and Implant Center, PC

Oral and Maxillofacial Surgery (Dentist) · Bethlehem, PA

NPI number 1104398510 Active

Practice location

2571 Baglyos Cir Ste B23
Bethlehem, PA 18020-8051

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone listed
Oral & Maxillofacial Surgery (D.M.D.) 204E00000XNone 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.

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About NPI 1104398510

Lehigh Valley Oral Surgery and Implant Center, PC's National Provider Identifier is 1104398510, issued on Dec 24, 2018. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Bethlehem, PA. The record was last updated on Oct 5, 2026.