Organization · Type 2 NPI

Academy Oral Surgery LLC

Oral and Maxillofacial Surgery (Dentist) · Philadelphia, PA

NPI number 1174034532 Active

Practice location

10101 Academy Rd
Philadelphia, PA 19114-1120

Call (215) 637-5800 Map

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDS026745L (PA)

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 1174034532

Academy Oral Surgery LLC's National Provider Identifier is 1174034532, issued on Oct 12, 2017. 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 Oct 12, 2017.