OrganizationActive
Bala Institute of Oral Surgery
NPI 1477567782 · Oral and Maxillofacial Surgery (Dentist) · Bala Cynwyd, PA
Provider details
- NPI number
- 1477567782
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Authorized official
- Lisa Waxman, Office Manager
- License
- DS023126L (PA)
Practice location
15 Presidential Blvd
Suite 301
Bala Cynwyd, PA 19004-1006
Phone: (610) 667-6161
Fax: (610) 617-9275
Mailing address
15 N Presidential Boulevard
Bala Cynwyd, PA 19004
Registry dates
- Enumerated
- 2006-07-29
- Last updated
- 2022-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.