Bala Institute of Oral Surgery
NPI 1477567782ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Bala Cynwyd, PA
Dentist, Oral and Maxillofacial Surgery in Bala Cynwyd, Pennsylvania, registered in NPPES in July 2006. The authorized official on file is Lisa Waxman, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1477567782 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 29, 2006 |
| Last updated in NPPES | Mar 4, 2022 |
| Certified by provider | Mar 4, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | DS023126L | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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