# PHILADELPHIA ORAL AND MAXILLOFACIAL SURGERY, PLLC

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

## Provider details

- **NPI number:** 1184374043
- **Authorized official:** DR. DR CYNDI NGUYEN (OWNER/SURGEON)
- **Authorized official phone:** (225) 772-0452

## Contact information

- **Practice address:** 456 N 5TH ST, PHILADELPHIA, PA 19123-4020
- **Practice address phone:** (215) 273-3223
- **Mailing address:** 128 FAIRVIEW RD, PENN VALLEY, PA 19072-1331
- **Mailing address phone:** (225) 772-0452

## 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:** 03/24/2022
- **Last updated:** 10/08/2026