| Penna Oral & Maxillofacial Surgery | |
|
26 S Bryn Mawr Ave Bryn Mawr PA 19010-3201 | |
| (610) 527-3110 | |
| (610) 520-0534 |
| Full Name | Penna Oral & Maxillofacial Surgery |
|---|---|
| Speciality | Dentist |
| Location | 26 S Bryn Mawr Ave, Bryn Mawr, Pennsylvania |
| Authorized Official Name and Position | Michael A Bianchi (PRESIDENT) |
| Authorized Official Contact | 6105273110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Penna Oral & Maxillofacial Surgery 26 S Bryn Mawr Ave Bryn Mawr PA 19010-3201 Ph: (610) 527-3110 | Penna Oral & Maxillofacial Surgery 26 S Bryn Mawr Ave Bryn Mawr PA 19010-3201 Ph: (610) 527-3110 |
| NPI Number | 1790786317 |
|---|---|
| Provider Enumeration Date | 08/04/2005 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9830159490 |
|---|---|
| Medicare Enrollment ID | O20041018000737 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790786317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS023823L (Pennsylvania) | Primary |
| Provider Name | David W Wedell |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1336259456 PECOS PAC ID: 0840257341 Enrollment ID: I20041216000417 |
| Provider Name | Andrew Lawrence Kanter |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1053341164 PECOS PAC ID: 2163467523 Enrollment ID: I20050627000134 |
| Provider Name | Joseph A Ilacqua |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1396762308 PECOS PAC ID: 9537342423 Enrollment ID: I20110331000123 |
| Provider Name | Michael Anthony Bianchi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1285663534 PECOS PAC ID: 0547220105 Enrollment ID: I20111102000519 |
| Provider Name | Jason Hughes Huffman |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1134393945 PECOS PAC ID: 6901072529 Enrollment ID: I20120104000104 |
| Provider Name | Eric Schlesinger |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1932353422 PECOS PAC ID: 9931375318 Enrollment ID: I20120106000163 |
| Provider Name | Joseph F Kern |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1124264023 PECOS PAC ID: 2567629116 Enrollment ID: I20120209000044 |
| Provider Name | Thomas Paul Nordone |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1780614883 PECOS PAC ID: 5294995619 Enrollment ID: I20120322000140 |
| Provider Name | Richard J Plotkin |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1083678940 PECOS PAC ID: 1850551987 Enrollment ID: I20120328000344 |
| Provider Name | Michael S Desalvo |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1760439228 PECOS PAC ID: 5799946406 Enrollment ID: I20120405000257 |
| Provider Name | Andrew D Miller |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1417123654 PECOS PAC ID: 7911216023 Enrollment ID: I20151012000664 |
| Provider Name | Donald E Roland |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1023338845 PECOS PAC ID: 3072807346 Enrollment ID: I20160809001970 |
| Provider Name | John Soliman |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1932429198 PECOS PAC ID: 4789952763 Enrollment ID: I20170615001133 |
| Provider Name | Anthony M Bianchi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1831400308 PECOS PAC ID: 8628308756 Enrollment ID: I20191002002425 |
Bryn Mawr Periodontal Associates, Ltd. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 County Line Rd, Suite 201, Bryn Mawr, PA 19010 Phone: 610-525-8485 | |
Lynann Mastaj D.m.d. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 976 E Railroad Ave, Bryn Mawr, PA 19010 Phone: 610-525-1200 | |
Main Line Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 931 E Haverford Rd, Bryn Mawr, PA 19010 Phone: 610-525-2311 | |
Andrew L. Lieberman Dmd Llc Dental Clinic Medicare: Medicare Enrolled Practice Location: 14 S Bryn Mawr Ave Ste 200, Bryn Mawr, PA 19010 Phone: 610-527-6700 | |
Amy Shoumer Dmd Dental Clinic Medicare: Medicare Enrolled Practice Location: 919 Conestoga Rd, Bryn Mawr, PA 19010 Phone: 610-234-3881 | |
Robin Harshaw And Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 780 W Lancaster Ave, Suite 100, Bryn Mawr, PA 19010 Phone: 610-527-2434 Fax: 610-527-2492 | |
Bryn Mawr Dental Health Group Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 Morris Ave, Bryn Mawr, PA 19010 Phone: 610-525-4910 Fax: 610-525-6127 |