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Contact Information

ADVANCED ORAL AND FACIAL SURGERY OF THE MAIN LINE, P.C.
223 LANCASTER AVENUE
DEVON, PA19333-1583
 Phone: 610-688-6683
 Fax: 610-971-0481
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Surgery

261QS0112X
Indicates primary specialty

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

NPI Number 1306066683
LBN Legal business name ADVANCED ORAL AND FACIAL SURGERY OF THE MAIN LINE, P.C.
Authorized official GODFREY FUNARI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/27/2007
Last updated 08/17/2007 - About 19 years ago
Identifiers
PA License # DS023425L
PA Other 1720009863 NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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