IndividualActive
Mark Funt, DMD
NPI 1407945280 · Oral & Maxillofacial Surgery (D.M.D.) · Elkins Park, PA
Provider details
- NPI number
- 1407945280
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- DS019726L (PA)
Practice location
401 Township Line Rd
Ste C
Elkins Park, PA 19027-2202
Phone: (215) 379-5520
Fax: (215) 663-5934
Mailing address
401 Township Line Rd
Elkins Park, PA 19027-2202
Registry dates
- Enumerated
- 2006-10-12
- Last updated
- 2008-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.