OrganizationActive
American Management Group
NPI 1962942771 · Oral and Maxillofacial Surgery (Dentist) · Philadelphia, PA
Provider details
- NPI number
- 1962942771
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Authorized official
- Jeanette Robinson, Oral Surgeon
- License
- DS041050 (PA)
Practice location
3900 City Avenue Apt W1101
Philadelphia, PA 19131
Phone: (973) 809-5507
Mailing address
3900 City Ave Apt W1101
Philadelphia, PA 19131-2963
Registry dates
- Enumerated
- 2017-02-27
- Last updated
- 2017-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.