# LEHIGH VALLEY ORAL SURGERY AND IMPLANT CENTER, PC

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

## Provider details

- **NPI number:** 1104398510
- **Authorized official:** MICHAELA MUNIZ (VP, PAYOR RELATIONS)
- **Authorized official phone:** (469) 324-3242

## Contact information

- **Practice address:** 2571 BAGLYOS CIR STE B23, BETHLEHEM, PA 18020-8051
- **Practice address phone:** (484) 821-1357
- **Mailing address:** 2571 BAGLYOS CIR STE B23, BETHLEHEM, PA 18020-8051
- **Mailing address phone:** (484) 821-1357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | NULL | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | — | — | Yes |

## Other

- **Enumeration date:** 12/24/2018
- **Last updated:** 10/05/2026