Organization · Type 2 NPI

Maxilla LLC

Oral and Maxillofacial Surgery (Dentist) · Collegeville, PA

NPI number 1942082250 Active

Practice location

555 Second Ave Ste E-100
Collegeville, PA 19426-3622

Mailing address

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

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.

Another provider at this address

About NPI 1942082250

Maxilla LLC's National Provider Identifier is 1942082250, issued on Oct 20, 2023. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Collegeville, PA. The record was last updated on Oct 20, 2023.