NPIMap

Organization Active NPI

Brandywine Dental Implants and Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Exton, PA
National Provider Identifier
1376761551
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS026077L Issued in PA
Legal business name
BRANDYWINE DENTAL IMPLANTS AND ORAL & MAXILLOFACIAL SURGERY
Practice address
25 Dowlin Forge Rd
Exton, PA 19341-1548
Phone
(610) 363-7000
NPI assigned
Apr 23, 2007
Last updated
Feb 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Authorized official

Name
Dr. Peter M Famiglio, DMDNPI 1316908478
Title
Owner
Phone
(610) 363-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X DS026077L PA Primary

Addresses

Primary practice location

25 Dowlin Forge Rd
Exton, PA 19341-1548

Mailing address

25 Dowlin Forge Rd
Exton, PA 19341-1548
Phone (610) 363-7000

National Provider Directory

National Provider Directory

Locations

25 Dowlin Forge Rd
Exton, PA 19341
Phone (610) 363-7000

Practitioners & affiliated clinicians

Practitioners 4

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": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1376761551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 DOWLIN FORGE RD",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411548",
            "telephone_number": "610-363-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 DOWLIN FORGE RD",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411548",
            "telephone_number": "610-363-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDYWINE DENTAL IMPLANTS AND ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "FAMIGLIO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-363-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS026077L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.