GREATER PHILADELPHIA ORAL SURGERY PC – NPI #1366549594
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.

Health Care Provider Taxonomy Code for Oral & Maxillofacial Surgery

GREATER PHILADELPHIA ORAL SURGERY PC is an oral & maxillofacial surgeon located in ELKINS PARK, PA. NPPES has assigned the NPI number 1366549594 to GREATER PHILADELPHIA ORAL SURGERY PC on September 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The former legal business name for this organization is MARK J. FUNT, DMD PC. The primary taxonomy selected by this provider is 204E00000X from the Health Care Provider Taxonomy code set, which is classified as Oral & Maxillofacial Surgery.

The NPI profile was last updated on Jul 24, 2024. 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 GREATER PHILADELPHIA ORAL SURGERY PC below.

NPI Profile for
GREATER PHILADELPHIA ORAL SURGERY PC

NPI Number
1366549594
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
GREATER PHILADELPHIA ORAL SURGERY PC
Former Legal Business Name: MARK J. FUNT, DMD PC
Primary location
401 TOWNSHIP LINE ROAD
SUITE 'C'
ELKINS PARK, PA 19027
Phone: (215) 379-5520 Fax: (215) 663-5934
1 Other location(s):
234 Mall Blvd Ste 180234
King Of Prussia, PA 19406-2954
Phone: (484) 231-1177
Fax: (484) 231-8964
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DONNA SCOTT
OFFICE MANAGER
Phone: (215) 379-3382
Updated
Certification Date
Jul 24, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
204E00000X
- Oral & Maxillofacial Surgery (Primary)		 PA DS019726L

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.