Organization
GREATER PHILADELPHIA OMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CEDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
401 TOWNSHIP LINE RD STE C, ELKINS PARK, PA 19027-2277
(215) 379-3382
Mailing address
401 TOWNSHIP LINE RD STE C, ELKINS PARK, PA 19027-2277
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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