Organization Active NPI

Mor Dental Implant Center LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Lititz, PA
National Provider Identifier
1124832670
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
MOR DENTAL IMPLANT CENTER LLC
Practice address
245 Bloomfield Dr Ste 211
Lititz, PA 17543-7789
Phone
(717) 553-1793
NPI assigned
Feb 5, 2025
Last updated
Oct 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Authorized official

Name
Christine Fernando
Title
Regional Manager
Phone
(443) 252-4229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU Primary

Addresses

Primary practice location

245 Bloomfield Dr Ste 211
Lititz, PA 17543-7789

Mailing address

245 Bloomfield Dr Ste 211
Lititz, PA 17543-7789
Phone (717) 322-2698

National Provider Directory

National Provider Directory

Locations

245 Bloomfield Dr
Ste 211
Lititz, PA 17543
Phone (717) 229-9970

Practitioners & affiliated clinicians

Practitioners 1

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": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791763200000",
    "number": "1124832670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 BLOOMFIELD DR STE 211",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437789",
            "telephone_number": "717-322-2698",
            "fax_number": "215-650-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 BLOOMFIELD DR STE 211",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175437789",
            "telephone_number": "717-553-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOR DENTAL IMPLANT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A",
        "authorized_official_last_name": "FERNANDO",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "443-252-4229"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lititz, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.