SPARK ORAL SURGERY PA, PLLC
NPI 1316728652
Dentist - Oral and Maxillofacial Surgery in Hazle Township, PA

Q: What is Spark Oral Surgery PA, PLLC's NPI number?

The NPI number for Spark Oral Surgery PA, PLLC is 1316728652. It was assigned to this organization in the NPPES registry on October 12, 2023.

Q: What is Spark Oral Surgery PA, PLLC's specialty?

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

Active since October 12, 2023

330 LAUREL MALL, HAZLE TOWNSHIP, PA 18202(610) 223-7777 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 15, 2024, Oct 12, 2023 (2 updates tracked since 2023).

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About Spark Oral Surgery Pa, Pllc NPPES

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

SPARK ORAL SURGERY PA, PLLC (NPI 1316728652) is a healthcare organization registered as an oral and maxillofacial surgery in Hazle Township, Pennsylvania and active in the NPI registry since October 2023. The organization lists Phi Le, General Counsel, as its authorized official.

NPPES Registry Identity

NPI1316728652

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameSPARK ORAL SURGERY PA, PLLC

Location Address330 LAUREL MALLHazle Township, PA 18202-1205

Mailing Address300 Willowbrook Ln Ste 330West Chester, PA 19382-5594

Phone(610) 223-7777

Organization SubpartNo

Authorized OfficialPhi LeGeneral Counsel · (267) 575-2321

Enumeration DateOctober 12, 2023

Last NPPES UpdateAugust 15, 20242 updates tracked since enumeration

NPPES CertifiedAugust 15, 2024

✔ NPI 1316728652 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.

330 LAUREL MALL, Hazle Township, PA 18202

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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.

LISA B VALINS DMD

Dentist (Orthodontics and Dentofacial Orthopedics)

330 LAUREL MALL, UNIT B
HAZLETON, PA 18202

Luzerne County (610) 223-7777

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 Spark Oral Surgery PA, PLLC's NPI number?

The NPI number for Spark Oral Surgery PA, PLLC is 1316728652. It was assigned to this organization in the NPPES registry on October 12, 2023.

Where is Spark Oral Surgery PA, PLLC located?

Spark Oral Surgery PA, PLLC is located at 330 Laurel Mall, Hazle Township, PA 18202. The listed phone number is (610) 223-7777.

What is Spark Oral Surgery PA, PLLC'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 Spark Oral Surgery PA, PLLC was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.