Organization · Type 2 NPI

Philadelphia Oral and Maxillofacial Surgery, PLLC

Oral and Maxillofacial Surgery (Dentist) · Philadelphia, PA

NPI number 1184374043 Active

Practice location

456 N 5th St
Philadelphia, PA 19123-4020

Call (215) 273-3223 Map

Mailing address

128 Fairview Rd
Penn Valley, PA 19072-1331

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

Philadelphia Facial Plastic Surgery & MedspaPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician Philadelphia, PA NPI 1598503633

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About NPI 1184374043

Philadelphia Oral and Maxillofacial Surgery, PLLC's National Provider Identifier is 1184374043, issued on Mar 24, 2022. 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 8, 2026.