Organization · Type 2 NPI
Eagles Oral Surgery
Oral and Maxillofacial Surgery (Dentist) · Temple, PA
NPI number
1104457191
Active
Practice location
5106 Allentown Pike
Temple, PA 19560-1212
Fax (484) 773-1717
Mailing address
1301 Penn Ave
Wyomissing, PA 19610-2140
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.
Another provider at this address
About NPI 1104457191
Eagles Oral Surgery's National Provider Identifier is 1104457191, issued on Jan 29, 2020. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Temple, PA. The record was last updated on Jan 29, 2020.