Individual provider · Type 1 NPI

Erick Xavier Diaz, DMD

Oral and Maxillofacial Surgery (Dentist) · Philadelphia, PA

NPI number 1720911472 Active

Practice location

909 Walnut St
Philadelphia, PA 19107-5211

Mailing address

435 N Broad St Unit 707
Philadelphia, PA 19123-3692

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDS045715 (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 1720911472

Erick Xavier Diaz, DMD's National Provider Identifier is 1720911472, issued on Jun 3, 2026. 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 Jun 3, 2026.