1. Home
  2. Directory
  3. Pennsylvania
  4. Williamsport
  5. Dentist
  6. NPI Profile

SUSQUEHANNA ORAL & FACIAL SURGERY & IMPLANT CENTER
NPI 1275905929
Dentist - Oral and Maxillofacial Surgery in Williamsport, PA

Active since October 21, 2015
1701 FOUR MILE DR, WILLIAMSPORT, PA 17701(570) 323-1900(570) 323-6079 Get Directions Write a Review

NPPES record last updated: October 21, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susquehanna Oral & Facial Surgery & Implant Center NPPES

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

SUSQUEHANNA ORAL & FACIAL SURGERY & IMPLANT CENTER (NPI 1275905929) is a healthcare organization registered as an oral and maxillofacial surgery in Williamsport, Pennsylvania and active in the NPI registry since October 2015. The organization lists Marc S Rosenthal, Owner, as its authorized official.

NPPES Registry Identity

NPI1275905929
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameKEYSTONE OMFS PC
Location Address1701 FOUR MILE DRWilliamsport, PA 17701-1940
Mailing Address1701 Four Mile DrWilliamsport, PA 17701-1940 · (570) 323-1900 · Fax (570) 323-6079
Phone(570) 323-1900
Fax(570) 323-6079
Organization SubpartNo
Authorized OfficialMarc S RosenthalOwner · (570) 323-1900
Enumeration DateOctober 21, 2015
✔ NPI 1275905929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in PA · DS029213L
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.
1701 FOUR MILE DR, Williamsport, PA 17701
Open in Google Maps ↗

Other Names 1

Doing Business AsSusquehanna Oral & Facial Surgery & Implant Center

Other Identifiers 2

Medicare UPINU85631
Other1699852137PA · Npi Type 1

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 3

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

DR. KATHLEEN CLAIRE LEWIS
Family Medicine
1701 FOUR MILE DR
WILLIAMSPORT, PA 17701
Lycoming County (570) 327-1000
DR. CHARLES MATTHEW BURZYNSKI DDS
Dentist (Oral and Maxillofacial Surgery)
1701 FOUR MILE DR
WILLIAMSPORT, PA 17701
Lycoming County (570) 323-1900
MARC S ROSENTHAL DMD, MD
Dentist (Oral and Maxillofacial Surgery)
1701 FOUR MILE DR
WILLIAMSPORT, PA 17701
Lycoming County (520) 323-1900

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 Keystone Omfs PC's NPI number?

The NPI number for Keystone Omfs PC is 1275905929. It was assigned to this organization in the NPPES registry on October 21, 2015. The provider is doing business as Susquehanna Oral & Facial Surgery & Implant Center.

Where is Keystone Omfs PC located?

Keystone Omfs PC is located at 1701 Four Mile Dr, Williamsport, PA 17701. The listed phone number is (570) 323-1900.

What is Keystone Omfs PC'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 Keystone Omfs PC was last updated on October 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.