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

Greater Philadelphia Oral Surgery PC

Organization Oral & Maxillofacial Surgery (D.M.D.) · NPI 1366549594

Greater Philadelphia Oral Surgery PC is an Oral & Maxillofacial Surgery (D.M.D.) in Elkins Park, Pennsylvania. Works from 2 locations. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

401 Township Line Rd Ste 'C'
Elkins Park, PA 19027
Phone: (215) 379-5520
Fax: (215) 663-5934
Show map & directions

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

Additional practice locations (1)

  • 234 Mall Blvd Ste 180234, King Of Prussia, PA 19406-2954 — (484) 231-1177

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence DS019726L (PA)

Record details

NPI number1366549594
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donna Scott — Office Manager · (215) 379-3382
Other names Mark J. Funt, Dmd Pc
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJuly 24, 2024
Certification dateJuly 24, 2024
Mailing address401 Township Line Road, Suite 'C, Elkins Park, PA 19027

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