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

Eagles Oral Surgery

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1376174862

Eagles Oral Surgery is an Oral and Maxillofacial Surgery (Dentist) in Wyomissing, Pennsylvania. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1425 Penn Ave
Wyomissing, PA 19610-2133
Phone: (484) 773-1717
Fax: (484) 773-1717
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

Record details

NPI number1376174862
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Megan Shank — Quality Control Manager · (610) 372-6313
NPI enumeratedFebruary 3, 2020
Last updated in NPPESFebruary 3, 2020
Certification dateFebruary 3, 2020
Mailing address1301 Penn Ave, Wyomissing, PA 19610-2140

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