EAGLES ORAL SURGERY
NPI 1104457191
Dentist - Oral and Maxillofacial Surgery in Temple, PA

Q: What is Eagles Oral Surgery's NPI number?

The NPI number for Eagles Oral Surgery is 1104457191. It was assigned to this organization in the NPPES registry on January 29, 2020.

Q: What is Eagles Oral Surgery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Active since January 29, 2020

5106 ALLENTOWN PIKE, TEMPLE, PA 19560(484) 773-1717(484) 773-1717 Get Directions Write a Review

NPPES record last updated: January 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Eagles Oral Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAGLES ORAL SURGERY (NPI 1104457191) is a healthcare organization registered as an oral and maxillofacial surgery in Temple, Pennsylvania and active in the NPI registry since January 2020. The organization lists Megan Shank, Quality Control Manager, as its authorized official.

NPPES Registry Identity

NPI1104457191

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameEAGLES ORAL SURGERY

Location Address5106 ALLENTOWN PIKETemple, PA 19560-1212

Mailing Address1301 Penn AveWyomissing, PA 19610-2140 · (484) 773-1717 · Fax (484) 773-1717

Phone(484) 773-1717

Fax(484) 773-1717

Organization SubpartNo

Authorized OfficialMegan ShankQuality Control Manager · (610) 372-6313

Enumeration DateJanuary 29, 2020

✔ NPI 1104457191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

5106 ALLENTOWN PIKE, Temple, PA 19560

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMDENT LTD

Dentist

5106 ALLENTOWN PIKE
TEMPLE, PA 19560

Berks County (610) 929-9700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eagles Oral Surgery's NPI number?

The NPI number for Eagles Oral Surgery is 1104457191. It was assigned to this organization in the NPPES registry on January 29, 2020.

Where is Eagles Oral Surgery located?

Eagles Oral Surgery is located at 5106 Allentown Pike, Temple, PA 19560. The listed phone number is (484) 773-1717.

What is Eagles Oral Surgery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Eagles Oral Surgery was last updated on January 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.