# ELKINS PARK ORAL SURGERY, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elkins Park Dental Specialist
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689915316
- **Authorized official:** DR. MATHEW CHERIAN DDS (PRESIDENT)
- **Authorized official phone:** (215) 663-1223

## Contact information

- **Practice address:** 7900 OLD YORK RD, 115 A, ELKINS PARK, PA 19027-2318
- **Practice address phone:** (215) 635-0808
- **Mailing address:** 7900 OLD YORK RD, 115 A, ELKINS PARK, PA 19027-2318
- **Mailing address phone:** (215) 635-0808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | DS037551 | PA | Yes |

## Other

- **Enumeration date:** 03/05/2013
- **Last updated:** 08/13/2013