Eagles Oral Surgery
Dentist, Oral and Maxillofacial Surgery in Phoenixville, PA. Organization (NPI-2).
NPI number1164053054
StatusActive
Last updated in NPPESJan 29, 2020
Details
- NPI
- 1164053054
- Entity type
- Organization (NPI-2)
- Legal business name
- Eagles Oral Surgery
- Organization subpart
- No
- Enumeration date
- Jan 29, 2020
- Certification date
- Jan 29, 2020
- Last updated
- Jan 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | – | – | Yes |
Practice location
247 Schuylkill RdPhoenixville, PA 19460-1879
Phone 484-773-1717 · Fax 484-773-1717
Mailing address
1301 Penn AveWyomissing, PA 19610-2140
Phone 484-773-1717 · Fax 484-773-1717
Authorized official
Megan Shank
Quality Control Manager
6103726313
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