# ALBANESE ORAL & MAXILLOFACIAL SURGERY PLLC

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

## Provider details

- **NPI number:** 1336748870
- **Authorized official:** DR. JAY ALBANESE DDS, MD (OWNER)
- **Authorized official phone:** (484) 926-6001

## Contact information

- **Practice address:** 300 OLD FORGE LN STE 301, KENNETT SQUARE, PA 19348-1897
- **Practice address phone:** (484) 926-6001
- **Practice address fax:** (484) 926-6002
- **Mailing address:** 300 OLD FORGE LN STE 301, KENNETT SQUARE, PA 19348-1932
- **Mailing address phone:** (484) 926-6001
- **Mailing address fax:** (484) 926-6002

## 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:** 10/24/2020
- **Last updated:** 02/26/2021