EAGLES ORAL SURGERY
NPI 1922639822
Dentist - Oral and Maxillofacial Surgery in Lititz, PA

Active since January 29, 2020
1030 LITITZ PIKE, LITITZ, PA 17543(484) 773-1717(484) 773-1717 Get Directions Write a Review

NPPES record last updated: January 29, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Eagles Oral Surgery NPPES

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

EAGLES ORAL SURGERY (NPI 1922639822) is a healthcare organization registered as an oral and maxillofacial surgery in Lititz, Pennsylvania and active in the NPI registry since January 2020. The organization lists Megan Shank, Quality Control Manager, as its authorized official.

NPPES Registry Identity

NPI1922639822
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameEAGLES ORAL SURGERY
Location Address1030 LITITZ PIKELititz, PA 17543-9328
Mailing Address1301 Penn AveWyomissing, PA 19610-2140 · (484) 773-1717 · Fax (484) 773-1717
Fax(484) 773-1717
Organization SubpartNo
Authorized OfficialMegan ShankQuality Control Manager · (610) 372-6313
Enumeration DateJanuary 29, 2020
NPI 1922639822 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.

1030 LITITZ PIKE, Lititz, PA 17543

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

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

Dentist (General Practice)
1030 LITITZ PIKE
LITITZ, PA 17543

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922639822, enumerated as an "organization" on January 29, 2020.

The provider is located at 1030 LITITZ PIKE LITITZ, PA 17543 and the phone number is (484) 773-1717.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.