Individual provider Active NPI

Michael Sebastian Desalvo, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Doylestown, PA
National Provider Identifier
1760439228
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS028368L Issued in PA
Practice address
467 N Main St
Doylestown, PA 18901-3403
Phone
(215) 348-0909
Fax
(215) 348-3004
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DS028368L PA Primary

Addresses

Primary practice location

467 N Main St
Doylestown, PA 18901-3403

Mailing address

467 N Main St
Doylestown, PA 18901-3403
Phone (215) 348-0909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120405000257 PA Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 5799946406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Maxillofacial Surgery
Education
Univ of Illinois at Chicago College of Dentistry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Penna Oral and Maxillofacial SurgeryGroup PAC ID 9830159490, 9 clinicians

Practice addresses (Care Compare)

26 S Bryn Mawr Ave
Bryn Mawr, PA 19010-3201
Phone (610) 527-3112

860 1St Ave
Suite 3
King of Prussia, PA 19406-4033
Phone (610) 265-2150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Penna Oral & Maxillofacial Surgery Oral and Maxillofacial Surgery CurrentSince Mar 13, 2021 Accepting new patients
Doylestown Dental Cosmetic Center, PC PastSince Jul 28, 2024 Accepting new patients
Valley Oral Surgery PC Oral and Maxillofacial Surgery Past Accepting new patients

Locations

26 S Bryn Mawr Ave
Bryn Mawr, PA 19010
Phone (610) 527-3110

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1760439228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 N MAIN ST",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189013403",
            "telephone_number": "215-348-0909",
            "fax_number": "215-348-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 N MAIN ST",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189013403",
            "telephone_number": "215-348-0909",
            "fax_number": "215-348-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESALVO",
        "first_name": "MICHAEL",
        "middle_name": "SEBASTIAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS028368L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.