Delaware Valley Oral & Maxillofacial Surgical Associates

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS022706L Issued in PA

Legal business name

DELAWARE VALLEY ORAL & MAXILLOFACIAL SURGICAL ASSOCIATES

Practice address

2603 Dekalb Pike
Norristown, PA 19401-1818

Phone

(610) 275-0500

Fax

(610) 275-1054

NPI assigned

Oct 12, 2010

Last updated

Oct 12, 2010By 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. Joseph A Ilacqua, DDSNPI 1396762308

Title

Owner

Phone

(610) 275-0500

Specialties & licenses 3

Addresses

Locations

Practitioners 2

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.

• Joseph A Ilacqua, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Norristown, PA
  • NPI 1396762308
  NPD (past) Authorized official
• Brian R Haber, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Phoenixville, PA
  • NPI 1669493441
  NPD (past)

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

{
    "created_epoch": "1286841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286841600000",
    "number": "1760792766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 DEKALB PIKE",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194011818",
            "telephone_number": "610-275-0500",
            "fax_number": "610-275-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 DEKALB PIKE",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194011818",
            "telephone_number": "610-275-0500",
            "fax_number": "610-275-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE VALLEY ORAL & MAXILLOFACIAL SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-12",
        "last_updated": "2010-10-12",
        "status": "A",
        "authorized_official_last_name": "ILACQUA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-275-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS019424L",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS022706L",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS022786L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minna Grabin Davis, LPC
• Juan Felipe Daza Ovalle, MD
• Mignon Mercado De Leon, MD
• Sharon Marie Del Bono
• Delaware Valley Community Health, Inc. (Norristown Regional Health Center)
• Mary Ann Dellostretto, CPNP-PC
• Dennis J Denick, OD
• Kevin Denick, R.PH.
• Amber S Dennis
• Westlane D Depew, D.O.

• Oral and Maxillofacial Surgery (Dentist) in Norristown, PA
• Providers in Norristown, 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 Oct 12, 2010; 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.