Organization · Type 2 NPI

Kingsbury Oral and Maxillofacial Surgery, PC

Oral and Maxillofacial Surgery (Dentist) · Bala Cynwyd, PA

NPI number 1568074037 Active

Practice location

1 Presidential Blvd Ste 207
Bala Cynwyd, PA 19004-1007

Mailing address

1401 Spruce St Apt 1905
Philadelphia, PA 19102-4641

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.

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About NPI 1568074037

Kingsbury Oral and Maxillofacial Surgery, PC's National Provider Identifier is 1568074037, issued on Aug 17, 2020. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Bala Cynwyd, PA. The record was last updated on Aug 17, 2020.