ADVANCED ORAL AND FACIAL SURGERY OF THE MAIN LINE, P.C. – NPI #1306066683
Clinic/Center

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.

Health Care Provider Taxonomy Code for Clinic/Center

ADVANCED ORAL AND FACIAL SURGERY OF THE MAIN LINE, P.C. is an AHC clinic located in DEVON, PA. NPPES has assigned the NPI number 1306066683 to ADVANCED ORAL AND FACIAL SURGERY OF THE MAIN LINE, P.C. on April 27, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QS0112X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Oral and Maxillofacial Surgery

The NPI profile was previously updated about 19 years ago on Aug 17, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED ORAL AND FACIAL SURGERY OF THE MAIN LINE, P.C. below.

NPI Profile for
ADVANCED ORAL AND FACIAL SURGERY OF THE MAIN LINE, P.C.

NPI Number
1306066683
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANCED ORAL AND FACIAL SURGERY OF THE MAIN LINE, P.C.
Primary location
223 LANCASTER AVENUE
DEVON, PA 19333-1583
Phone: (610) 688-6683 Fax: (610) 971-0481
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GODFREY FUNARI
PRESIDENT
Phone: (610) 688-6683
Updated
Identifiers

Identifiers for ADVANCED ORAL AND FACIAL SURGERY OF THE MAIN LINE, P.C.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERNPIPA1720009863
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QS0112X
- Clinic/Center / Oral and Maxillofacial Surgery (Primary)		 PA DS023425L

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.