Organization Active NPI

Lehigh Valley Oral Surgery and Implant Center, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Bethlehem, PA
National Provider Identifier
1104398510
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
LEHIGH VALLEY ORAL SURGERY AND IMPLANT CENTER, PC
Practice address
2571 Baglyos Cir Ste B23
Bethlehem, PA 18020-8051
Phone
(484) 821-1357
NPI assigned
Dec 24, 2018
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Authorized official

Name
Michaela Muniz
Title
VP, Payor Relations
Phone
(469) 324-3242

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU Primary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X NU

Addresses

Primary practice location

2571 Baglyos Cir Ste B23
Bethlehem, PA 18020-8051

Mailing address

2571 Baglyos Cir Ste B23
Bethlehem, PA 18020-8051
Phone (484) 821-1357

National Provider Directory

National Provider Directory
Part of
Advanced Oral Surgery and Implant Center

Locations

2571 Baglyos Cir
Ste B23
Bethlehem, PA 18020
Phone (484) 821-1357

102 Skinner Hill Rd
Stroudsburg, PA 18360
Phone (484) 821-1357

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1545609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1104398510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2571 BAGLYOS CIR STE B23",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208051",
            "telephone_number": "484-821-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2571 BAGLYOS CIR STE B23",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180208051",
            "telephone_number": "484-821-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEHIGH VALLEY ORAL SURGERY AND IMPLANT CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-24",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_title_or_position": "VP, PAYOR RELATIONS",
        "authorized_official_telephone_number": "469-324-3242"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; 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.