Michael T Dachowski, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS024726L Issued in PA

Practice address

105 Lakeside Drive
Lakeside Office Park
Southampton, PA 18966-8004

Phone

(215) 938-7860

Fax

(215) 857-8189

NPI assigned

May 10, 2006

Last updated

Aug 5, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Penndios, LLC

  dba The Oral Surgery Group

  • Oral and Maxillofacial Surgery Clinic/Center
  • Meadowbrook, PA
  • NPI 1588896815
  Authorized official Same address or phone
• University Neurosurgical, PC

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Philadelphia, PA
  • NPI 1942254511
  NPD

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1255381513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 LAKESIDE DRIVE",
            "address_2": "LAKESIDE OFFICE PARK",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189668004",
            "telephone_number": "215-938-7860",
            "fax_number": "215-857-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 LAKESIDE DRIVE",
            "address_2": "LAKESIDE OFFICE PARK",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189668004",
            "telephone_number": "215-938-7860",
            "fax_number": "215-857-8189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2630 Holme Avenue",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191521912",
            "country_code": "US",
            "telephone_number": "215-938-7860",
            "fax_number": "215-857-8119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DACHOWSKI",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2025-08-05",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS024726L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SOUTHAMPTON",
            "affiliation": "N",
            "endpointDescription": "business office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "105 Lakeside Drive",
            "address_2": "Lakeside Office Park",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "country_code": "US",
            "postal_code": "18966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kelly Nicole Craney, MA, NCC, LPC
• Elizabeth Maxfield Crofts, CD(DONA)
• Cryo Spa Natural Healing Center
• Clement Michael D'Angelo, D.P.M.
• Amanda D'Aulerio, DPT
• Jennifer S Dagia, PSY.D., LCSW
• Dana L. Kerner D.O. LLC
• John Kenneth Dancu, D..D.S
• Jennifer Vy Dang
• Gina R Danis, LMT

• Oral and Maxillofacial Surgery (Dentist) in Southampton, PA
• Providers in Southampton, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.