Organization Active NPI

Lehigh Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Allentown, PA
National Provider Identifier
1710924071
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
LEHIGH ORAL & MAXILLOFACIAL SURGERY
Practice address
1251 S Cedar Crest Blvd
Allentown, PA 18103-6205
Phone
(610) 435-6161
Fax
(610) 435-2902
NPI assigned
Jun 2, 2006
Last updated
Jan 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Authorized official

Name
Dr. David M Bender, DMDNPI 1659484665
Title
President
Phone
(610) 435-6161

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1251 S Cedar Crest Blvd
Allentown, PA 18103-6205

Mailing address

1251 S Cedar Crest Blvd
Allentown, PA 18103-6205
Phone (610) 435-6161

Other practice location 1

800 Main St Ste 105
Hellertown, PA 18055-1535
Phone (610) 435-6161

Other identifiers 2

IdentifierTypeStateIssuer
162125OtherPAHIGHMARK BLUE SHIELD
02381200OtherCAPITAL BLUE CROSS GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040611000597 PA Part B Supplier - Clinic/Group Practice 7810970688 Receives reassigned benefits from 2 practitioners
Practice locations: Hellertown, PA; Allentown, PA

National Provider Directory

National Provider Directory

Locations

1251 S Cedar Crest Blvd
Ste 311
Allentown, PA 18103
Phone (610) 435-6161

800 Main St
Ste 105
Hellertown, PA 18055
Phone (610) 435-6161

Practitioners & affiliated clinicians

Practitioners 6

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": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1710924071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 S CEDAR CREST BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036205",
            "telephone_number": "610-435-6161",
            "fax_number": "610-435-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 S CEDAR CREST BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036205",
            "telephone_number": "610-435-6161",
            "fax_number": "610-435-2902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Main St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Hellertown",
            "state": "PA",
            "postal_code": "180551535",
            "country_code": "US",
            "telephone_number": "610-435-6161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEHIGH ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-435-6161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "162125",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS GROUP",
            "identifier": "02381200",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.