# MOR DENTAL IMPLANT CENTER LLC

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

## Provider details

- **NPI number:** 1124832670
- **Authorized official:** CHRISTINE FERNANDO (REGIONAL MANAGER)
- **Authorized official phone:** (443) 252-4229

## Contact information

- **Practice address:** 245 BLOOMFIELD DR STE 211, LITITZ, PA 17543-7789
- **Practice address phone:** (717) 553-1793
- **Mailing address:** 245 BLOOMFIELD DR STE 211, LITITZ, PA 17543-7789
- **Mailing address phone:** (717) 322-2698
- **Mailing address fax:** (215) 650-5201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 02/05/2025
- **Last updated:** 10/12/2026