Albanese Oral & Maxillofacial Surgery PLLC
Dentist, Oral and Maxillofacial Surgery in Kennett Square, PA. Organization (NPI-2).
NPI number1336748870
StatusActive
Last updated in NPPESFeb 26, 2021
Details
- NPI
- 1336748870
- Entity type
- Organization (NPI-2)
- Legal business name
- Albanese Oral & Maxillofacial Surgery PLLC
- Organization subpart
- No
- Enumeration date
- Oct 24, 2020
- Certification date
- Feb 26, 2021
- Last updated
- Feb 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | – | – | Yes |
Practice location
300 Old Forge Ln Ste 301Kennett Square, PA 19348-1897
Phone 484-926-6001 · Fax 484-926-6002
Mailing address
300 Old Forge Ln Ste 301Kennett Square, PA 19348-1932
Phone 484-926-6001 · Fax 484-926-6002
Authorized official
Jay Albanese
Owner
4849266001
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