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EAGLES ORAL SURGERY
NPI 1376174862
Dentist - Oral and Maxillofacial Surgery in Wyomissing, PA

Active since February 03, 2020
1425 PENN AVE, WYOMISSING, PA 19610(484) 773-1717(484) 773-1717 Get Directions Write a Review

NPPES record last updated: February 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eagles Oral Surgery NPPES

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

EAGLES ORAL SURGERY (NPI 1376174862) is a healthcare organization registered as an oral and maxillofacial surgery in Wyomissing, Pennsylvania and active in the NPI registry since February 2020. The organization lists Megan Shank, Quality Control Manager, as its authorized official.

NPPES Registry Identity

NPI1376174862
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameEAGLES ORAL SURGERY
Location Address1425 PENN AVEWyomissing, PA 19610-2133
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 DateFebruary 3, 2020
✔ NPI 1376174862 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.
1425 PENN AVE, Wyomissing, PA 19610
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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 2

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

KANCHI B SHAH
Dentist (Orthodontics and Dentofacial Orthopedics)
1425 PENN AVE
WYOMISSING, PA 19610
Berks County (610) 372-6693
AMDENT LTD.
Dentist
1425 PENN AVE
WYOMISSING, PA 19610
Berks County (610) 372-6693

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 1376174862. It was assigned to this organization in the NPPES registry on February 3, 2020.

Where is Eagles Oral Surgery located?

Eagles Oral Surgery is located at 1425 Penn Ave, Wyomissing, PA 19610. 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 February 3, 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.