OrganizationActive
Suburban Oral Surgery LLC
NPI 1487247607 · Oral & Maxillofacial Surgery (D.M.D.) · Drexel Hill, PA
Provider details
- NPI number
- 1487247607
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Authorized official
- Richard Clark, President
Practice location
2300 Garrett Road
Drexel Hill, PA 19026-1102
Phone: (610) 623-4211
Fax: (610) 623-2850
Mailing address
2300 Garrett Road
Drexel Hill, PA 19026-1102
Registry dates
- Enumerated
- 2021-02-18
- Last updated
- 2021-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.