South Philadelphia Oral And Maxillofacial Surgery Associates Pc in Philidelphia - Oral And Maxillofacial Surgery
South Philadelphia Oral And Maxillofacial Surgery Associates Pc - NPI 1952411720
South Philadelphia Oral And Maxillofacial Surgery Associates Pc is a Oral And Maxillofacial Surgery in Philidelphia, Pennsylvania. South Philadelphia Oral And Maxillofacial Surgery Associates Pc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for South Philadelphia Oral And Maxillofacial Surgery Associates Pc is 1952411720. The last update date is 2020-08-22.
South Philadelphia Oral And Maxillofacial Surgery Associates Pc's current location address is 1613 South Broad St, Philidelphia, Pennsylvania. You can contact this provider via phone number 2153892511 and fax number 2153890334. The mailing address for South Philadelphia Oral And Maxillofacial Surgery Associates Pc is 1613 South Broad St, Philidelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Philadelphia Oral And Maxillofacial Surgery Associates Pc |
|---|---|
| Address | 1613 South Broad St, Philidelphia, Pennsylvania |
| Phone Number | 2153892511 |
| Fax Number | 2153890334 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Wohar Michael Robert |
| Credentials | DMD |
| Telephone Number | 2153892511 |
NPI Number Detail
| NPI Number | 1952411720 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1613 South Broad St |
|---|---|
| City | Philidelphia |
| State | Pennsylvania (PA) |
| Post Code | 19148 |
| Phone Number | 2153892511 |
| Fax Number | 2153890334 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 317930000 | PA | KEYSTONE HEALTH PLAN EAST | |
| 117949 | PA | INDEPENCE BLUE CROSS PERS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to South Philadelphia Oral And Maxillofacial Surgery Associates Pc by the Centers for Medicare & Medicaid Services?
The South Philadelphia Oral And Maxillofacial Surgery Associates Pc has been issued the NPI (National Provider Identifier) 1952411720 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the South Philadelphia Oral And Maxillofacial Surgery Associates Pc's physical address?
The South Philadelphia Oral And Maxillofacial Surgery Associates Pc is physically located at 1613 South Broad St, in the city of Philidelphia, PA, with the postal code 19148.
What is South Philadelphia Oral And Maxillofacial Surgery Associates Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for South Philadelphia Oral And Maxillofacial Surgery Associates Pc is Oral And Maxillofacial Surgery, and the corresponding taxonomy classification code for this specialized field is 1223S0112X.
When did the South Philadelphia Oral And Maxillofacial Surgery Associates Pc receive its 1952411720?
The South Philadelphia Oral And Maxillofacial Surgery Associates Pc was issued its 1952411720 on 2006-08-30, which is the date when the organization was assigned this unique identifier.
As of what date were the South Philadelphia Oral And Maxillofacial Surgery Associates Pc's details last updated?
The information pertaining to the South Philadelphia Oral And Maxillofacial Surgery Associates Pc, including its address, specialty, and other details, was most recently updated on 2020-08-22.