Organization
PENNA ORAL & MAXILLOFACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A BIANCHI DDS (PRESIDENT)
(610) 527-3110
Entity
Organization
Contact information
Practice address
26 S BRYN MAWR AVE, BRYN MAWR, PA 19010-3201
(610) 527-3110
(610) 520-0534
Mailing address
26 S BRYN MAWR AVE, BRYN MAWR, PA 19010-3201
(610) 527-3110
(610) 520-0534
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS023823L
PA
Other
Enumeration date
08/04/2005
Last updated
09/11/2025
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