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

Suburban Oral Surgery LLC

Organization Oral & Maxillofacial Surgery (D.M.D.) · NPI 1487247607

Suburban Oral Surgery LLC is an Oral & Maxillofacial Surgery (D.M.D.) in Drexel Hill, Pennsylvania. Registered with an NPI since 2021.

In the registry since
2021
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

2300 Garrett Rd
Drexel Hill, PA 19026-1102
Phone: (610) 623-4211
Fax: (610) 623-2850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X

Record details

NPI number1487247607
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Clark — President · (610) 513-9137
NPI enumeratedFebruary 18, 2021
Last updated in NPPESFebruary 18, 2021
Certification dateFebruary 18, 2021
Mailing address2300 Garrett Road, Drexel Hill, PA 19026-1102

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