OrganizationActive
Oral Surgery Associates of the Main Line
NPI 1073219994 · Oral & Maxillofacial Surgery (D.M.D.) · Paoli, PA
Provider details
- NPI number
- 1073219994
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Joseph Leonetti, Owner(610) 716-1714
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2 Industrial Blvd
Bldg 3 Suite 125
Paoli, PA 19301-1645
Phone: (610) 716-1714
Approximate (ZIP-level) locationGet directions
Mailing address
2 Industrial Blvd
Paoli, PA 19301-1645
Registry dates
- Enumerated
- 2023-02-02
- Last updated
- 2023-02-02
- Certified
- 2023-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.