Innovative Implant & Oral Surgery PC

Organization Oral & Maxillofacial Surgery (D.M.D.) · NPI 1679547707

Innovative Implant & Oral Surgery PC is an Oral & Maxillofacial Surgery (D.M.D.) in Feasterville Trevose, Pennsylvania. Works from 3 locations. Registered with an NPI since 2006.

In the registry since: 2006
Specialties on file: 2

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

1300 Bridgetown Pike
Feasterville Trevose, PA 19053-4326
Phone: (215) 322-7810
Fax: (215) 322-7832

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

Additional practice locations (2)

1494 Old York Rd Fl 2, Abington, PA 19001-2614 — (215) 322-7810
638 Newtown Yardley Rd Ste 2a, Newtown, PA 18940-1739 — (215) 322-7810

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary)	Taxonomy 204E00000X
Customized Equipment (DME)	Taxonomy 332BC3200X

Record details

NPI number	1679547707
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Debra Lodise — Office Manager · (215) 322-7810
Other names	Charles B Nissman Dds; Charles B Nissman Dds; Nissman-Salin Oral & Maxillofacial Surgery Pc
NPI enumerated	February 15, 2006
Last updated in NPPES	January 23, 2026
Certification date	January 23, 2026
Mailing address	1300 Bridgetown Pike, Feasterville Trevose, PA 19053-4326