Oral Surgery Associates of the Main Line

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

ORAL SURGERY ASSOCIATES OF THE MAIN LINE

Practice address

2 Industrial Blvd
BLDG 3 Suite 125
Paoli, PA 19301-1645

Phone

(610) 716-1714

NPI assigned

Feb 2, 2023

Last updated

Feb 2, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joseph Leonetti, DDSNPI 1346295037

Title

Owner

Phone

(610) 716-1714

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph A Leonetti, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Paoli, PA
  • NPI 1346295037
  NPD Authorized official
• Joseph Francis Geiger III

  • Oral and Maxillofacial Surgery (Dentist)
  • Paoli, PA
  • NPI 1285194514
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1073219994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 INDUSTRIAL BLVD",
            "address_2": "BLDG 3 SUITE 125",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 INDUSTRIAL BLVD",
            "address_2": "BLDG 3 SUITE 125",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011645",
            "telephone_number": "610-716-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL SURGERY ASSOCIATES OF THE MAIN LINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "LEONETTI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-716-1714",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Ayoki Okello, CRNA, DNP
• Scott A. Olex, D.O.
• Robert L Olson
• Gulia Muca Omene, D.M.D.
• Juliana Omile, MSN, AGNP
• Orthopaedic Surgery & Sports Medicine Group PC
• Orthopedic Sports & Arthritis Surgery
• Hayler H Osborn, MD
• Roger William Osmun, PH.D.
• Megan M Ossont, CRNP

• Oral & Maxillofacial Surgery (D.M.D.) in Paoli, PA
• Providers in Paoli, PA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.