Organization · Type 2 NPI
Advanced Oral and Facial Surgery of the Main Line, P.c.
Oral and Maxillofacial Surgery Clinic/Center · Devon, PA
NPI number
1306066683
Active
Practice location
223 Lancaster Avenue
Devon, PA 19333-1583
Fax (610) 971-0481
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery Clinic/Center Primary | 261QS0112X | DS023425L (PA) |
Oral and Maxillofacial Surgery Clinic/Center: 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.
About NPI 1306066683
Advanced Oral and Facial Surgery of the Main Line, P.c.'s National Provider Identifier is 1306066683, issued on Apr 27, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Devon, PA. The record was last updated on Aug 17, 2007.