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

Spark Oral Surgery PA, PLLC

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1316728652

Spark Oral Surgery PA, PLLC is an Oral and Maxillofacial Surgery (Dentist) in Hazle Township, Pennsylvania. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

330 Laurel Mall
Hazle Township, PA 18202-1205
Phone: (610) 223-7777
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 number1316728652
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phi Le — General Counsel · (267) 575-2321
NPI enumeratedOctober 12, 2023
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024
Mailing address300 Willowbrook Ln Ste 330, West Chester, PA 19382-5594