INNOVATIVE IMPLANT & ORAL SURGERY PC
NPI 1679547707
Oral & Maxillofacial Surgery in Feasterville Trevose, PA
NPI Status: Active since February 15, 2006
Contact Information
1300 BRIDGETOWN PIKE
FEASTERVILLE TREVOSE, PA
ZIP 19053
Phone: (215) 322-7810
Fax: (215) 322-7832
- Organization
- Oral & Maxillofacial Surgery
About INNOVATIVE IMPLANT & ORAL SURGERY PC
This page provides the complete NPI Profile along with additional information for Innovative Implant & Oral Surgery Pc, a provider established in Feasterville Trevose, Pennsylvania operating as a Oral & Maxillofacial Surgery. The healthcare provider is registered in the NPI registry with number 1679547707 assigned on February 2006. The practitioner's primary taxonomy code is 204E00000X. The provider is registered as an organization and their NPI record was last updated January 2026. The provider's
- NPI
- 1679547707
- Provider Legal Name
- INNOVATIVE IMPLANT & ORAL SURGERY PC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 1300 BRIDGETOWN PIKE FEASTERVILLE TREVOSE, PA 19053
- Location Phone
- (215) 322-7810
- Location Fax
- (215) 322-7832
- Mailing Address
- 1300 BRIDGETOWN PIKE FEASTERVILLE TREVOSE, PA 19053
- Mailing Phone
- (215) 322-7810
- Mailing Fax
- (215) 322-7832
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-15-2006
- Last Update Date
- 01-23-2026
- Code Navigator
Location Map
Secondary Locations
- 638 Newtown Yardley Rd Ste 2A
Newtown, PA 18940
(215) 322-7810 - 1494 Old York Rd Fl 2
Abington, PA 19001
(215) 322-7810
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Oral & Maxillofacial Surgery
- Taxonomy Code
- 204E00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 332BC3200X | Suppliers | Durable Medical Equipment & Medical Supplies |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1615888 | OTHER (01) | PA | SALIN BLUE SHIELD |
| 0547613000 | OTHER (01) | PA | KEYST GROUP# |
| 4437 | OTHER (01) | PA | AETNA NISSMAN |
| 161558 | OTHER (01) | PA | NISSMAN BLUE SHIELD |
| 747908 | OTHER (01) | PA | BLUE SHIELD GROUP# |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1679547707, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
FEASTERVILLE TREVOSE, PA 19053
FEASTERVILLE TREVOSE, PA 19053
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679547707, enumerated as an "organization" on February 15, 2006.
The provider is located at 1300 BRIDGETOWN PIKE FEASTERVILLE TREVOSE, PA 19053 and the phone number is (215) 322-7810.
Oral & Maxillofacial Surgery with taxonomy code 204E00000X.
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare, Medicaid and. Please consult your insurance carrier or call the provider to verify.
