# BZG ORAL AND MAXILLOFACIAL SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023514403
- **Authorized official:** DR. BRETT GODLEWSKI DMD (DR./ORAL SURGEON)
- **Authorized official phone:** (412) 736-0861

## Contact information

- **Practice address:** 1223 N PROVIDENCE RD, MEDIA, PA 19063-1235
- **Practice address phone:** (610) 566-5555
- **Mailing address:** 1223 N PROVIDENCE RD, MEDIA, PA 19063-1235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 04/03/2018
- **Last updated:** 04/03/2018