Organization · Type 2 NPI

Penna Oral & Maxillofacial Surgery

Oral and Maxillofacial Surgery (Dentist) · Bryn Mawr, PA

NPI number 1790786317 Active

Practice location

26 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3201

Call (610) 527-3110 Map

Fax (610) 520-0534

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XNone listed
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDS023823L (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 1790786317

Penna Oral & Maxillofacial Surgery's National Provider Identifier is 1790786317, issued on Aug 4, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Bryn Mawr, PA. The record was last updated on Sep 11, 2025.