Maxillo Facial Surgeons LTD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS-016814-L Issued in PA

Legal business name

MAXILLO FACIAL SURGEONS LTD

Practice address

3501 W Chester Pike
Suite 100
Newtown Square, PA 19073-3704

Phone

(610) 353-1404

Fax

(610) 353-1083

NPI assigned

Jan 24, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Harold Russell Romesburg, DDSNPI 1437180270

Title

Pres

Phone

(616) 353-1404

Specialties & licenses 1

Addresses

Locations

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.

• Harold Russell Romesburg, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Newtown Square, PA
  • NPI 1437180270
  NPD (past) Authorized official

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629123229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 W CHESTER PIKE",
            "address_2": "SUITE 100",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733704",
            "telephone_number": "610-353-1404",
            "fax_number": "610-353-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 W CHESTER PIKE",
            "address_2": "SUITE 100",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190733704",
            "telephone_number": "610-353-1404",
            "fax_number": "610-353-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXILLO FACIAL SURGEONS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROMESBURG",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "616-353-1404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS-016814-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Newtown Square, PA
• Providers in Newtown Square, 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 22, 2020; 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.