SOUTHEASTERN PA ORAL SURGERY LLC
NPI 1073641148
Dentist - Oral and Maxillofacial Surgery in Philadelphia, PA

NPI Status: Active since March 01, 2007

Contact Information

2301 E ALLEGHENY AVE STE 206
PHILADELPHIA, PA
ZIP 19134
Phone: (267) 367-5009
Fax: (267) 367-5476

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  • Organization
  • Dentist
  • Oral and Maxillofacial Surgery

About SOUTHEASTERN PA ORAL SURGERY LLC

This page provides the complete NPI Profile along with additional information for Southeastern Pa Oral Surgery Llc, a provider established in Philadelphia, Pennsylvania operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1073641148 assigned on March 2007. The practitioner's primary taxonomy code is 1223S0112X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Southeastern Pa Oral Surgery Llc. The authorized official of this NPI record is Dr. Brian M Smith Dmd (Chairman)

NPI
1073641148
Provider Legal Name
DELAWARE VALLEY MAXILLOFACIAL & ORAL SURGERY LLC
Other Organization Name
SOUTHEASTERN PA ORAL SURGERY LLC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2301 E ALLEGHENY AVE STE 206 PHILADELPHIA, PA 19134
Location Phone
(267) 367-5009
Location Fax
(267) 367-5476
Mailing Address
100 E LEHIGH AVE PM2 PHILADELPHIA, PA 19125
Mailing Phone
(215) 707-7138
Mailing Fax
(267) 367-5476
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-01-2007
Last Update Date
08-13-2020
Code Navigator

A dentist like Southeastern Pa Oral Surgery Llc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Secondary Locations

  • 100 E Lehigh Ave PM2
    Philadelphia, PA 19125
    (215) 707-7138

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Oral and Maxillofacial Surgery

Taxonomy Code
1223S0112X
Type
Dental Providers
Taxonomy Description
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. BRIAN M SMITH DMD

Authorized Official Title
CHAIRMAN
Authorized Official Phone
(215) 707-7138

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1073641148
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20143124218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 1 + 2 + 4 + 2 + 1 + 8 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1073641148 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316517196DR. DAVID BRUCE MANN II DMD
Individual
Dentist (Oral and Maxillofacial Surgery)2301 E ALLEGHENY AVE STE 206
PHILADELPHIA, PA 19134
(215) 926-3000
1164162806 MARC COLBY DDS
Individual
Student in an Organized Health Care Education/Training Program2301 E ALLEGHENY AVE STE 206
PHILADELPHIA, PA 19134
(267) 367-5009
1295480903 ALEXANDER LITREL
Individual
Dentist2301 E ALLEGHENY AVE STE 206
PHILADELPHIA, PA 19134
(267) 367-5009

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073641148, enumerated in the NPI registry as an "organization" on March 01, 2007

The provider is located at 2301 E Allegheny Ave Ste 206 Philadelphia, Pa 19134 and the phone number is (267) 367-5009

This medical organization specializes in Dentist with taxonomy code 1223S0112X with a focus in Oral and Maxillofacial Surgery

This NPI record was last updated on March 01, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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