Organization
ACADEMY ORAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT SILVERMAN DDS (OWNER)
(215) 637-5800
Entity
Organization
Contact information
Practice address
10101 ACADEMY RD, PHILADELPHIA, PA 19114-1120
(215) 637-5800
Mailing address
10101 ACADEMY RD, PHILADELPHIA, PA 19114-1120
(215) 637-5800
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS026745L
PA
Other
Enumeration date
10/12/2017
Last updated
10/12/2017
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