SUBURBAN ORAL SURGERY LLC
NPI 1487247607
Oral & Maxillofacial Surgery in Drexel Hill, PA

Active since February 18, 2021
2300 GARRETT ROAD, DREXEL HILL, PA 19026(610) 623-4211(610) 623-2850 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Suburban Oral Surgery Llc NPPES

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

SUBURBAN ORAL SURGERY LLC (NPI 1487247607) is a healthcare organization registered as an oral & maxillofacial surgery in Drexel Hill, Pennsylvania and active in the NPI registry since February 2021. The organization lists Richard James Clark, President, as its authorized official.

NPPES Registry Identity

NPI1487247607
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameSUBURBAN ORAL SURGERY LLC
Location Address2300 GARRETT ROADDrexel Hill, PA 19026-1102
Mailing Address2300 Garrett RoadDrexel Hill, PA 19026-1102 · (610) 623-4211 · Fax (610) 623-2850
Fax(610) 623-2850
Organization SubpartNo
Authorized OfficialRichard James ClarkPresident · (610) 513-9137
Enumeration DateFebruary 18, 2021
NPPES CertifiedFebruary 18, 2021
NPI 1487247607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
2300 GARRETT ROAD, Drexel Hill, PA 19026

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

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 Suburban Oral Surgery LLC's NPI number?

The NPI number for Suburban Oral Surgery LLC is 1487247607. It was assigned to this organization in the NPPES registry on February 18, 2021.

Where is Suburban Oral Surgery LLC located?

Suburban Oral Surgery LLC is located at 2300 Garrett Road, Drexel Hill, PA 19026. The listed phone number is (610) 623-4211.

What is Suburban Oral Surgery LLC's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

When was this NPI record last updated?

The NPPES record for Suburban Oral Surgery LLC was last updated on February 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.