Innovative Implant & Oral Surgery PC
NPI 1679547707 · Oral & Maxillofacial Surgery (D.M.D.) · Feasterville Trevose, PA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Innovative Implant & Oral Surgery PC is a Oral & Maxillofacial Surgery (D.M.D.) organization in Feasterville Trevose, PA (NPI 1679547707).
Provider details
- NPI number
- 1679547707
- Entity type
- Organization
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Debra Lodise, Office Manager(215) 322-7810
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Customized Equipment (DME)332BC3200X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Charles B Nissman DDS
- Former legal business name
- Charles B Nissman DDS
- Former legal business name
- Nissman-Salin Oral & Maxillofacial Surgery PC
Additional practice locations (2)
- 1494 Old York Rd Fl 2Abington, PA 19001-2614Phone: (215) 322-7810Fax: (215) 322-7832
- 638 Newtown Yardley Rd Ste 2aNewtown, PA 18940-1739Phone: (215) 322-7810Fax: (215) 322-7832
Registry dates
- Enumerated
- 2006-02-15
- Last updated
- 2026-01-23
- Certified
- 2026-01-23
Frequently asked questions
- What is Innovative Implant & Oral Surgery PC's NPI number?
- Innovative Implant & Oral Surgery PC's National Provider Identifier (NPI) is 1679547707, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Implant & Oral Surgery PC?
- Innovative Implant & Oral Surgery PC is classified in the NPPES registry as Oral & Maxillofacial Surgery (D.M.D.) (Allopathic & Osteopathic Physicians).
- Where is Innovative Implant & Oral Surgery PC located?
- Innovative Implant & Oral Surgery PC's practice location on file with NPPES is 1300 Bridgetown Pike, Feasterville Trevose, PA 19053-4326.
- What is Innovative Implant & Oral Surgery PC's phone number?
- The practice phone number listed in the NPPES registry for Innovative Implant & Oral Surgery PC is (215) 322-7810.
- Does Innovative Implant & Oral Surgery PC accept Medicare?
- Innovative Implant & Oral Surgery PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Innovative Implant & Oral Surgery PC?
- The authorized official listed on Innovative Implant & Oral Surgery PC's NPPES record is Debra Lodise, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Implant & Oral Surgery PC's NPI active?
- Yes — Innovative Implant & Oral Surgery PC's NPI (1679547707) is active in the NPPES registry as of the last update on 2026-01-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.