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Advanced Oral And Facial Surgery Of The Main Line, P.c.
Oral and Maxillofacial Surgery Clinic/Center in Devon, Pennsylvania
NPI 1306066683

Advanced Oral And Facial Surgery Of The Main Line, P.c. is a Oral and Maxillofacial Surgery Clinic/Center based in Devon, PA and is specialized in Oral and Maxillofacial Surgery. Advanced Oral And Facial Surgery Of The Main Line, P.c. practices in Devon, PA. The NPI Number for Advanced Oral And Facial Surgery Of The Main Line, P.c. is 1306066683 and holds a License No. DS023425L (Pennsylvania).

The current practice location address for Advanced Oral And Facial Surgery Of The Main Line, P.c. is 223 Lancaster Avenue, Devon, PA and can be reached out via phone at 610-688-6683 and via fax at 610-971-0481.

Location: 223 Lancaster Avenue, Devon, PA, 19333-1583
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306066683
Provider Name
Advanced Oral And Facial Surgery Of The Main Line, P.c.
Credential
Provider Entity Type
Organization
Address
223 Lancaster Avenue, Devon, PA, 19333-1583
Phone Number
610-688-6683
Fax Number
610-971-0481
Provider Enumeration Date
04/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1720009863 01 PA NPI
institution
Provider Business Practice Location Address Details
Address
223 Lancaster Avenue
City
Devon
State
Pennsylvania
Zip
19333-1583
Phone Number
610-688-6683
Fax Number
610-971-0481
person
Provider Business Mailing Address Details
Address
223 Lancaster Avenue
City
Devon
State
Pennsylvania
Zip
19333-1583
Phone Number
610-688-6683
Fax Number
610-971-0481
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
261QS0112X
License No.
DS023425L (Pennsylvania)
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.
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