ADVANCED ORAL SURGERY AND IMPLANT CENTER
NPI 1104398510
Oral & Maxillofacial Surgery in Bethlehem, PA

Active since December 24, 2018
2571 BAGLYOS CIR STE B23, BETHLEHEM, PA 18020(484) 821-1357 Get Directions Write a Review

NPPES record last updated: December 24, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Oral & Maxillofacial Surgery

About ADVANCED ORAL SURGERY AND IMPLANT CENTER

This page provides the complete NPI Profile along with additional information for Advanced Oral Surgery And Implant Center, a provider established in Bethlehem, Pennsylvania operating as a Oral & Maxillofacial Surgery. The healthcare provider is registered in the NPI registry with number 1104398510 assigned on December 2018. The practitioner's primary taxonomy code is 204E00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Colleen Gallagher (Insurance Coordinator)

NPI
1104398510 Verify this NPI
Provider Name
ADVANCED ORAL SURGERY AND IMPLANT CENTER
Entity Type
Organization
Location Address
2571 BAGLYOS CIR STE B23 BETHLEHEM, PA 18020
Location Phone
(484) 821-1357
Mailing Address
2571 BAGLYOS CIR STE B23 BETHLEHEM, PA 18020
Mailing Phone
(484) 821-1357
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-24-2018
Last Update Date
12-24-2018
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Location Map

Secondary Locations

  • 102 Skinner Hill Rd
    Stroudsburg, PA 18360
    (484) 821-1357

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Oral & Maxillofacial Surgery

Taxonomy Code
204E00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

COLLEEN GALLAGHER

Authorized Official Title
INSURANCE COORDINATOR
Authorized Official Phone
(484) 821-1357

Reviews for ADVANCED ORAL SURGERY AND IMPLANT CENTER

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist (Oral and Maxillofacial Surgery)
2571 BAGLYOS CIR STE B23
BETHLEHEM, PA 18020
Dentist (Oral and Maxillofacial Surgery)
2571 BAGLYOS CIR STE B23
BETHLEHEM, PA 18020

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104398510, enumerated as an "organization" on December 24, 2018.

The provider is located at 2571 BAGLYOS CIR STE B23 BETHLEHEM, PA 18020 and the phone number is (484) 821-1357.

Oral & Maxillofacial Surgery with taxonomy code 204E00000X.