# GREATER PHILADELPHIA OMS LLC

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

## Provider details

- **NPI number:** 1699698936
- **Authorized official:** CHAD HENDRICKS (CEDENTIALING)
- **Authorized official phone:** (612) 859-0444

## Contact information

- **Practice address:** 401 TOWNSHIP LINE RD STE C, ELKINS PARK, PA 19027-2277
- **Practice address phone:** (215) 379-3382
- **Mailing address:** 401 TOWNSHIP LINE RD STE C, ELKINS PARK, PA 19027-2277

## 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:** 08/03/2026
- **Last updated:** 08/03/2026