Organization · Type 2 NPI

Center City Oral & Maxillofacial Surgery

Oral and Maxillofacial Surgery (Dentist) · Philadelphia, PA

NPI number 1376990853 Active

Practice location

1740 South St Ste 302
Philadelphia, PA 19146-1572

Fax (267) 437-7541

Mailing address

2422 Naudain St
Philadelphia, PA 19146-1030

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDS035784 (PA)
Oral & Maxillofacial Surgery (D.M.D.) 204E00000XDS035784 (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 1376990853

Center City Oral & Maxillofacial Surgery's National Provider Identifier is 1376990853, issued on May 16, 2016. 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 May 16, 2016.