ADVANCED ORAL SURGERY AND IMPLANT CENTER (NPI# 1104398510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104398510 |
| Entity Type | Organization |
| Organization Name | ADVANCED ORAL SURGERY AND IMPLANT CENTER |
| Practice Address |
2571 Baglyos Cir Ste B23 Bethlehem PA 18020-8051 |
| Practice Telephone | 4848211357 |
| Mailing Telephone | 4848211357 |
| Enumeration Date | 2018-12-24 |
| Last Update Date | 2018-12-24 |
| Authorized Official Name | COLLEEN GALLAGHER (INSURANCE COORDINATOR) |
| Authorized Official Telephone | 4848211357 |
| Is Organization Subpart | Y |
| Parent Organization Name | LEHIGH VALLEY ORAL SURGERY AND IMPLANT CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 102 Skinner Hill Rd, Stroudsburg, PA 183607505 | 4848211357 |
| Street Address |
2571 BAGLYOS CIR STE B23 |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18020-8051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730563107 | Jean Kim | Dentist | 2571 Baglyos Cir Ste B23, Bethlehem, PA 18020-8051 | 2015-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700315504 | Bgp LLC | Non-emergency Medical Transport (VAN) | 4329 Rexford Drive, Bethlehem, PA 18020 | 2017-06-06 |
| 1194252882 | Jeffrey Timlin | Legal Medicine | 3382 East Boulevard, Bethlehem, PA 18020 | 2017-05-12 |
| 1104350206 | Jamie Green | Speech-Language Pathologist | 185 Butztown Road, Bethlehem, PA 18020 | 2017-04-14 |
| 1396102075 | Kati Holmes | Specialist/Technologist | 2030 Highland Ave., Coordinated Heatlh, Bethlehem, PA 18020 | 2016-01-26 |
| 1093056590 | Ching-ho Lin | Obstetrics & Gynecology | 3550 Manor Rd., Bethlehem, PA 18020 | 2013-03-07 |
| 1922338490 | Merakey Pennsylvania | Community/Behavioral Health | 1430 Coleman Streeet, Bethlehem, PA 18020 | 2010-01-06 |
| 1861720575 | Kellyn Foundation | Voluntary or Charitable | 2820 Emrick Boulevard, Bethlehem, PA 18020 | 2009-11-19 |
| 1639358542 | Ronald R Strisofsky Jr. | Dentist | 3835 Green Pond Rd, Northampton Community College, Bethlehem, PA 18020 | 2007-10-26 |
| 1760677827 | Charles Sidney Moore Jr. | Nurse Anesthetist, Certified Registered | 2851 Baglyos Cir Ste 100, Bethlehem, PA 18020 | 2007-09-12 |
| 1265635494 | Tonya Mineo | Speech-Language Pathologist | 3819 Timothy Ln, Bethlehem, PA 18020 | 2007-06-06 |
| Find all providers in zip 18020 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760544282 | Richard T Kingston Jr. | Oral & Maxillofacial Surgery | 2414 Schoenersville Rd, Bethlehem, PA 18017 | 2006-12-14 |
| 1679861942 | Mihai Radulescu | Oral & Maxillofacial Surgery | 1521 8th Ave Ste 101, Bethlehem, PA 18018 | 2011-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376990853 | Center City Oral & Maxillofacial Surgery | Oral & Maxillofacial Surgery | 1740 South St Ste 302, Philadelphia, PA 19146-1572 | 2016-05-16 |
| 1962782318 | Stuart None Heydt | Oral & Maxillofacial Surgery | 544 Olde Course Rd, Hershey, PA 17033-1337 | 2011-08-17 |
| 1356629711 | Chintan I Patel | Oral & Maxillofacial Surgery | 2225 Kohn Rd, Harrisburg, PA 17110-9604 | 2011-08-02 |
| 1023338845 | Donald E Roland Jr. | Oral & Maxillofacial Surgery | 500 Heritage Dr, Pottstown, PA 19464-3233 | 2010-06-03 |
| 1669694964 | Aloysius Vincetn Murcko Sr. | Oral & Maxillofacial Surgery | 7421 Sharon Mercer Road, Mercer, PA 16137-6538 | 2007-05-03 |
| 1780705475 | Drs Ronald & Christopher Dileo | Oral & Maxillofacial Surgery | 4104 W Tilghman Street, Allentown, PA 18104 | 2007-04-02 |
| 1144396177 | Pasqual Associates | Oral & Maxillofacial Surgery | 603 Washington Road, Pittsburgh, PA 15228-1909 | 2006-11-28 |
| 1033283841 | Quad County Oral & Maxillofacial Surgery | Oral & Maxillofacial Surgery | 114 East Dimond St, Butler, PA 16001-5906 | 2006-11-20 |
| 1730268079 | Children's Surgical Associates Ltd | Oral & Maxillofacial Surgery | 34th & Civc Center Blvd, Children's Hospital of Philadelphia, Philadelphia, PA 19104 | 2006-11-06 |
| 1407945280 | Mark J Funt | Oral & Maxillofacial Surgery | 401 Township Line Rd, Ste C, Elkins Park, PA 19027-2202 | 2006-10-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.