Delaware Valley Maxillofacial & Oral Surgery LLC
NPI 1073641148 · Oral and Maxillofacial Surgery (Dentist) · Philadelphia, PA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Delaware Valley Maxillofacial & Oral Surgery LLC is a Oral and Maxillofacial Surgery (Dentist) organization in Philadelphia, PA (NPI 1073641148).
Provider details
- NPI number
- 1073641148
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Brian Smith, Chairman(215) 707-7138
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Southeastern PA Oral Surgery LLC
- Doing business as
- Southeastern PA Oral Surgery LLC
Additional practice locations (1)
- 100 E Lehigh AvePm2Philadelphia, PA 19125-1012Phone: (215) 707-7138Fax: (215) 707-5405
Registry dates
- Enumerated
- 2007-03-01
- Last updated
- 2020-08-13
- Certified
- 2020-08-13
Frequently asked questions
- What is Delaware Valley Maxillofacial & Oral Surgery LLC's NPI number?
- Delaware Valley Maxillofacial & Oral Surgery LLC's National Provider Identifier (NPI) is 1073641148, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Delaware Valley Maxillofacial & Oral Surgery LLC?
- Delaware Valley Maxillofacial & Oral Surgery LLC is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Delaware Valley Maxillofacial & Oral Surgery LLC located?
- Delaware Valley Maxillofacial & Oral Surgery LLC's practice location on file with NPPES is 2301 E Allegheny Ave Ste 206, Philadelphia, PA 19134-4427.
- What is Delaware Valley Maxillofacial & Oral Surgery LLC's phone number?
- The practice phone number listed in the NPPES registry for Delaware Valley Maxillofacial & Oral Surgery LLC is (267) 367-5009.
- Does Delaware Valley Maxillofacial & Oral Surgery LLC accept Medicare?
- Delaware Valley Maxillofacial & Oral Surgery LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Delaware Valley Maxillofacial & Oral Surgery LLC?
- The authorized official listed on Delaware Valley Maxillofacial & Oral Surgery LLC's NPPES record is Brian Smith, Chairman. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Delaware Valley Maxillofacial & Oral Surgery LLC's NPI active?
- Yes — Delaware Valley Maxillofacial & Oral Surgery LLC's NPI (1073641148) is active in the NPPES registry as of the last update on 2020-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.