Organization · Type 2 NPI

Spark Oral Surgery Pa, PLLC

Oral and Maxillofacial Surgery (Dentist) · Hazle Township, PA

NPI number 1316728652 Active

Practice location

330 Laurel Mall
Hazle Township, PA 18202-1205

Mailing address

300 Willowbrook Ln Ste 330
West Chester, PA 19382-5594

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XNone 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 1316728652

Spark Oral Surgery Pa, PLLC's National Provider Identifier is 1316728652, issued on Oct 12, 2023. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Hazle Township, PA. The record was last updated on Aug 15, 2024.