Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bala Institute of Oral Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1477567782

Bala Institute of Oral Surgery is an Oral and Maxillofacial Surgery (Dentist) in Bala Cynwyd, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.

Licensed in
PA
In the registry since
2006

Practice location Address checks out

15 Presidential Blvd Ste 301
Bala Cynwyd, PA 19004-1006
Phone: (610) 667-6161
Fax: (610) 617-9275
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence DS023126L (PA)

Record details

NPI number1477567782
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Waxman — Office Manager · (484) 680-6405
NPI enumeratedJuly 29, 2006
Last updated in NPPESMarch 4, 2022
Certification dateMarch 4, 2022
Mailing address15 N Presidential Boulevard, Suite 301, Bala Cynwyd, PA 19004

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