# CENTER CITY ORAL & MAXILLOFACIAL SURGERY

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

## Provider details

- **NPI number:** 1376990853
- **Authorized official:** DR. KAI-ZU CHI DMD, MSED, MD (DR)
- **Authorized official phone:** (215) 290-9778

## Contact information

- **Practice address:** 1740 SOUTH ST STE 302, PHILADELPHIA, PA 19146-1572
- **Practice address phone:** (267) 437-7540
- **Practice address fax:** (267) 437-7541
- **Mailing address:** 2422 NAUDAIN ST, PHILADELPHIA, PA 19146-1030
- **Mailing address phone:** (215) 290-9778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS035784 | PA | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | DS035784 | PA | — |

## Other

- **Enumeration date:** 05/16/2016
- **Last updated:** 05/16/2016