Organization · Type 2 NPI

PA Surgery Group LLC

Oral and Maxillofacial Surgery (Dentist) · Philadelphia, PA

NPI number 1891477162 Active

Practice location

2200 Arch St Ste 102
Philadelphia, PA 19103-1353

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 1891477162

PA Surgery Group LLC's National Provider Identifier is 1891477162, issued on Aug 4, 2023. 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 Aug 26, 2026.