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MAXILLOFACIAL SURGICAL ASSOCIATES, P.C.
NPI 1942573902
Oral & Maxillofacial Surgery in Philadelphia, PA

Active since February 21, 2012
1601 WALNUT ST, SUITE 1116, PHILADELPHIA, PA 19102(215) 640-0811(215) 640-0912 Get Directions Write a Review

NPPES record last updated: February 21, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maxillofacial Surgical Associates, P.c. NPPES

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

MAXILLOFACIAL SURGICAL ASSOCIATES, P.C. (NPI 1942573902) is a healthcare organization registered as an oral & maxillofacial surgery in Philadelphia, Pennsylvania and active in the NPI registry since February 2012. The organization lists Allan S. Shaw, President, as its authorized official.

NPPES Registry Identity

NPI1942573902
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameMAXILLOFACIAL SURGICAL ASSOCIATES, P.C.
Location Address1601 WALNUT ST, SUITE 1116Philadelphia, PA 19102-2944
Mailing Address1601 Walnut St, Suite 1116Philadelphia, PA 19102-2944 · (215) 640-0811 · Fax (215) 640-0912
Phone(215) 640-0811
Fax(215) 640-0912
Organization SubpartNo
Authorized OfficialAllan S. ShawPresident · (215) 640-0811
Enumeration DateFebruary 21, 2012
✔ NPI 1942573902 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.
1601 WALNUT ST, Philadelphia, PA 19102
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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

Other Providers at the Same Location NPPES 20

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

MERYL CLAUDIA TUCKER LCSW
Social Worker (Clinical)
1601 WALNUT ST
PHILADELPHIA, PA 19102
Philadelphia County (908) 463-3886
MR. CHARLES H. BITTNER M.A., M.DIV., C.G.P.
Psychologist (Clinical)
1601 WALNUT ST, SUITE 1128
PHILADELPHIA, PA 19102
Philadelphia County (610) 246-9749
TERESA HARRINGTON LCSW
Social Worker (Clinical)
1601 WALNUT ST, SUITE 608
PHILADELPHIA, PA 19102
Philadelphia County (215) 510-5554
2020DENTISTRY
Dentist
1601 WALNUT ST, SUITE 801
PHILA, PA 19102
Philadelphia County (215) 567-4949
DR. MARK B SNYDER D.M.D.
Dentist (Periodontics)
1601 WALNUT ST, SUITE 604
PHILADELPHIA, PA 19102
Philadelphia County (215) 564-4200
PEARL DENTAL LLC
Dentist
1601 WALNUT ST, SUITE 1111
PHILADELPHIA, PA 19102
Philadelphia County (215) 564-3830
JESSICA PAVELKA MS, LPC, NCC, RYT
Counselor (Professional)
1601 WALNUT ST, SUITE 1005
PHILADELPHIA, PA 19102
Philadelphia County (267) 551-1270
DR. LEONARD MEYER JENSEN DMD
Dentist (General Practice)
1601 WALNUT ST, SUITE 704 MED ARTS BLDG
PHILADELPHIA, PA 19102
Philadelphia County (215) 496-0481

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 Maxillofacial Surgical Associates, P.C.'s NPI number?

The NPI number for Maxillofacial Surgical Associates, P.C. is 1942573902. It was assigned to this organization in the NPPES registry on February 21, 2012.

Where is Maxillofacial Surgical Associates, P.C. located?

Maxillofacial Surgical Associates, P.C. is located at 1601 Walnut St Suite 1116, Philadelphia, PA 19102. The listed phone number is (215) 640-0811.

What is Maxillofacial Surgical Associates, P.C.'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 Maxillofacial Surgical Associates, P.C. was last updated on February 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.