Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Delaware Valley Maxillofacial & Oral Surgery LLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1073641148

Delaware Valley Maxillofacial & Oral Surgery LLC is an Oral and Maxillofacial Surgery (Dentist) in Philadelphia, Pennsylvania. Works from 2 locations. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2301 E Allegheny Ave Ste 206
Philadelphia, PA 19134-4427
Phone: (267) 367-5009
Fax: (267) 367-5476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 E Lehigh Ave, Philadelphia, PA 19125-1012 — (215) 707-7138

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1073641148
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Smith — Chairman · (215) 707-7138
Other names Southeastern Pa Oral Surgery Llc; Southeastern Pa Oral Surgery Llc
NPI enumeratedMarch 1, 2007
Last updated in NPPESAugust 13, 2020
Certification dateAugust 13, 2020
Mailing address100 E Lehigh Ave, Pm2, Philadelphia, PA 19125-1012

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