SUSQUEHANNA ORAL & MAXILLOFACIAL SURGERY
NPI 1851370217
Dentist - Oral and Maxillofacial Surgery in York, PA

Q: What is Susquehanna Oral & Maxillofacial Surgery's specialty?

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

Active since January 13, 2006CLIA 39D0971429 · Waiver

2210 EAST MARKET ST, YORK, PA 17402(717) 755-9695(717) 757-2274 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Susquehanna Oral & Maxillofacial Surgery NPPES

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

SUSQUEHANNA ORAL & MAXILLOFACIAL SURGERY (NPI 1851370217) is a healthcare organization registered as an oral and maxillofacial surgery in York, Pennsylvania and active in the NPI registry since January 2006. The organization holds a CLIA Waiver certificate valid through March 13, 2028 and lists Joanne M Dickerson, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1851370217

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameSUSQUEHANNA ORAL & MAXILLOFACIAL SURGERY

Location Address2210 EAST MARKET STYork, PA 17402

Mailing Address2210 East Market StYork, PA 17402 · (717) 755-9695 · Fax (717) 757-2274

Phone(717) 755-9695

Fax(717) 757-2274

Organization SubpartNo

Authorized OfficialJoanne M DickersonPractice Administrator · (717) 755-9695

Enumeration DateJanuary 13, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1851370217 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.

2210 EAST MARKET ST, York, PA 17402

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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0971429

Susquehanna Oral & Maxillofacial Surgery · York, PA

Active · expires Mar 13, 2028

CLIA Number39D0971429

Laboratory TypePhysician Office

Certificate Effective DateMarch 14, 2026

Certificate Expiration DateMarch 13, 2028

Laboratory DirectorJames M. Boyle III Od

Laboratory Phone(717) 755-9695

Laboratory LocationSusquehanna Oral & Maxillofacial Surgery2990 Eastern Boulevard, York, PA 17402

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Susquehanna Oral & Maxillofacial Surgery's NPI number?

The NPI number for Susquehanna Oral & Maxillofacial Surgery is 1851370217. It was assigned to this organization in the NPPES registry on January 13, 2006.

Where is Susquehanna Oral & Maxillofacial Surgery located?

Susquehanna Oral & Maxillofacial Surgery is located at 2210 East Market St, York, PA 17402. The listed phone number is (717) 755-9695.

What is Susquehanna Oral & Maxillofacial Surgery's specialty?

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

Does Susquehanna Oral & Maxillofacial Surgery hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0971429) is associated with this NPI, valid through March 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Susquehanna Oral & Maxillofacial Surgery was last updated on August 22, 2020. 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.