OrganizationActive
Keystone Omfs PC
NPI 1275905929 · Oral and Maxillofacial Surgery (Dentist) · Williamsport, PA
Provider details
- NPI number
- 1275905929
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Marc Rosenthal, Owner(570) 323-1900
- License
- DS029213L (PA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
1701 Four Mile Dr
Williamsport, PA 17701-1940
Phone: (570) 323-1900
Fax: (570) 323-6079
Street-level locationGet directions
Mailing address
1701 Four Mile Dr
Williamsport, PA 17701-1940
Other names (DBA / former)
- Doing business as
- Susquehanna Oral & Facial Surgery & Implant Center
Registry dates
- Enumerated
- 2015-10-21
- Last updated
- 2015-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.