OrganizationActive
Advanced Oral and Facial Surgery of the Main Line, P.C.
NPI 1306066683 · Oral and Maxillofacial Surgery Clinic/Center · Devon, PA
Provider details
- NPI number
- 1306066683
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Godfrey Funari, President
- License
- DS023425L (PA)
Practice location
223 Lancaster Avenue
Devon, PA 19333-1583
Phone: (610) 688-6683
Fax: (610) 971-0481
Mailing address
223 Lancaster Avenue
Devon, PA 19333-1583
Registry dates
- Enumerated
- 2007-04-27
- Last updated
- 2007-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.