NPI 1104398510

Advanced Oral Surgery and Implant Center

Organisation Oral & Maxillofacial Surgery (D.M.D.) Bethlehem, PA

Practice location

Address: 2571 Baglyos Cir STE B23, Bethlehem, PA 18020-8051
Phone: (484) 821-1357

Authorised official

Name: Colleen Gallagher
Title: Insurance Coordinator
Phone: (484) 821-1357

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X

Other Oral & Maxillofacial Surgery providers in Pennsylvania →

Registry record

NPI: 1104398510
Entity type: Organization
NPI issued: 24 Dec 2018
Record last updated: 24 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.