# ORAL SURGERY CONSULTANTS OF PENNSYLVANIA PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oral surgery consultants of PA PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134250517
- **Authorized official:** MRS. MELISSA P REMENTER (INSURANCE COORDINATOR)
- **Authorized official phone:** (215) 463-3916

## Contact information

- **Practice address:** 2546 S BROAD ST, PHILADELPHIA, PA 19145-4638
- **Practice address phone:** (215) 463-4141
- **Practice address fax:** (215) 463-7616
- **Mailing address:** 2546 S BROAD ST, PHILADELPHIA, PA 19145-4638
- **Mailing address phone:** (215) 463-4141
- **Mailing address fax:** (215) 463-7616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS030599L | PA | Yes |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 09/23/2022