BALA INSTITUTE OF ORAL SURGERY
NPI 1477567782
Dentist - Oral and Maxillofacial Surgery in Bala Cynwyd, PA

Active since July 29, 2006
15 PRESIDENTIAL BLVD, SUITE 301, BALA CYNWYD, PA 19004(610) 667-6161(610) 617-9275 Get Directions Write a Review

NPPES record last updated: March 4, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bala Institute Of Oral Surgery NPPES

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

BALA INSTITUTE OF ORAL SURGERY (NPI 1477567782) is a healthcare organization registered as an oral and maxillofacial surgery in Bala Cynwyd, Pennsylvania and active in the NPI registry since July 2006. The organization lists Lisa Waxman, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1477567782
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameBALA INSTITUTE OF ORAL SURGERY
Location Address15 PRESIDENTIAL BLVD, SUITE 301Bala Cynwyd, PA 19004-1006
Mailing Address15 N Presidential Boulevard, Suite 301Bala Cynwyd, PA 19004 · (610) 667-6161 · Fax (610) 617-9275
Fax(610) 617-9275
Organization SubpartNo
Authorized OfficialLisa WaxmanOffice Manager · (484) 680-6405
Enumeration DateJuly 29, 2006
Last NPPES UpdateMarch 4, 2022
NPPES CertifiedMarch 4, 2022
NPI 1477567782 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 · DS023126L
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.

15 PRESIDENTIAL BLVD, Bala Cynwyd, PA 19004

Other Identifiers 5

Other1610569PA · United Concordia
Other3776353PA · Aetna
OtherMA172847PA · Highmark
Other1610569PA · Blue Shield
Other172847PA · Blue Shield

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 11

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

Anesthesiology (Pain Medicine)
15 PRESIDENTIAL BLVD, SUITE 100
BALA CYNWYD, PA 19004
Orthopaedic Surgery
15 PRESIDENTIAL BLVD, SUITE 300
BALA CYNWYD, PA 19004
Dentist (General Practice)
15 PRESIDENTIAL BLVD, SUITE #303
BALA CYNWYD, PA 19004
Dentist
15 PRESIDENTIAL BLVD, SUITE 201
BALA CYNWYD, PA 19004
Psychologist
15 PRESIDENTIAL BLVD, SUITE 202
BALA CYNWYD, PA 19004
Plastic Surgery
15 PRESIDENTIAL BLVD, SUITE 200
BALA CYNWYD, PA 19004
Plastic Surgery
15 PRESIDENTIAL BLVD, SUITE 200
BALA CYNWYD, PA 19004
Surgery (Plastic and Reconstructive Surgery)
15 PRESIDENTIAL BLVD, SUITE 102
BALA CYNWYD, PA 19004

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 Bala Institute Of Oral Surgery's NPI number?

The NPI number for Bala Institute Of Oral Surgery is 1477567782. It was assigned to this organization in the NPPES registry on July 29, 2006.

Where is Bala Institute Of Oral Surgery located?

Bala Institute Of Oral Surgery is located at 15 Presidential Blvd Suite 301, Bala Cynwyd, PA 19004. The listed phone number is (610) 667-6161.

What is Bala Institute Of 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 Bala Institute Of Oral Surgery was last updated on March 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.