Advanced Oral And Facial Surgery Of The Main Line, P.C. in Devon - Oral And Maxillofacial Surgery
Advanced Oral And Facial Surgery Of The Main Line, P.C. - NPI 1306066683
Advanced Oral And Facial Surgery Of The Main Line, P.C. is a Oral And Maxillofacial Surgery in Devon, Pennsylvania. Advanced Oral And Facial Surgery Of The Main Line, P.C. practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Advanced Oral And Facial Surgery Of The Main Line, P.C. is 1306066683. The last update date is 2007-08-17.
Advanced Oral And Facial Surgery Of The Main Line, P.C.'s current location address is 223 Lancaster Avenue, Devon, Pennsylvania. You can contact this provider via phone number 6106886683 and fax number 6109710481. The mailing address for Advanced Oral And Facial Surgery Of The Main Line, P.C. is 223 Lancaster Avenue, Devon, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Advanced Oral And Facial Surgery Of The Main Line, P.C. |
|---|---|
| Address | 223 Lancaster Avenue, Devon, Pennsylvania |
| Phone Number | 6106886683 |
| Fax Number | 6109710481 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Funari Joel Godfrey |
| Credentials | DMD |
| Telephone Number | 6106886683 |
NPI Number Detail
| NPI Number | 1306066683 |
|---|---|
| Provider Enumeration Date | 2007-04-27 |
| Last Updated Date | 2007-08-17 |
Provider Mailing Address Detail
| Address | 223 Lancaster Avenue |
|---|---|
| City | Devon |
| State | Pennsylvania (PA) |
| Post Code | 193331583 |
| Phone Number | 6106886683 |
| Fax Number | 6109710481 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 261Qs0112X |
| Licence No | DS023425L |
|
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 |
|---|---|---|---|
| 1720009863 | PA | NPI |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Advanced Oral And Facial Surgery Of The Main Line, P.C. by the Centers for Medicare & Medicaid Services?
The Advanced Oral And Facial Surgery Of The Main Line, P.C. has been assigned the NPI (National Provider Identifier) 1306066683 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Advanced Oral And Facial Surgery Of The Main Line, P.C. is geographically located?
The Advanced Oral And Facial Surgery Of The Main Line, P.C. is physically situated at the following location: 223 Lancaster Avenue, Devon, PA, 193331583.
What is Advanced Oral And Facial Surgery Of The Main Line, P.C.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Advanced Oral And Facial Surgery Of The Main Line, P.C. is Oral And Maxillofacial Surgery, and the taxonomy classification code that categorizes this area of expertise is 261Qs0112X.
On what date was the 1306066683 assigned to Advanced Oral And Facial Surgery Of The Main Line, P.C.?
The Advanced Oral And Facial Surgery Of The Main Line, P.C. was issued its 1306066683 on 2007-04-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Advanced Oral And Facial Surgery Of The Main Line, P.C. most recently updated or revised?
The details related to Advanced Oral And Facial Surgery Of The Main Line, P.C., including its address, specialty, and other relevant information, were last updated or revised on 2007-08-17.
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