Active NPI
Mor Dental Implant Center LLC
- Oral and Maxillofacial Surgery (Dentist)
- Lititz, PA
National Provider Identifier
1124832670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Lititz, PA
- NPI 1134299472
General Practice
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.