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Greater Philadelphia Oral Surgery PC — NPI 1366549594, Elkins Park, PA | NPI Central

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NPI 1366549594

OrganizationActive

Greater Philadelphia Oral Surgery PC

NPI 1366549594 · Oral & Maxillofacial Surgery (D.M.D.) · Elkins Park, PA

Provider details

NPI number: 1366549594
Entity type: Organization
Primary specialty: Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Donna Scott, Office Manager(215) 379-3382
License: DS019726L (PA)

Specialties & taxonomies

Oral & Maxillofacial Surgery (D.M.D.)Primary204E00000XLicense DS019726L (PA)
Allopathic & Osteopathic Physicians

Practice location

401 Township Line Road

Suite 'C'

Elkins Park, PA 19027

Phone: (215) 379-5520

Fax: (215) 663-5934

Approximate (ZIP-level) locationGet directions

More PA providers

Mailing address

401 Township Line Road

Elkins Park, PA 19027

Other names (DBA / former)

Former legal business name: Mark J. Funt, DMD PC

Additional practice locations (1)

234 Mall Blvd Ste 180234
King of Prussia, PA 19406-2954
Phone: (484) 231-1177
Fax: (484) 231-8964

Registry dates

Enumerated: 2006-09-20
Last updated: 2024-07-24
Certified: 2024-07-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.