Bala Institute Of Oral Surgery
Oral and Maxillofacial Dental Clinic
15 Presidential Blvd, Suite 301, Bala Cynwyd
Pennsylvania, 19004-1006
610-667-6161 610-617-9275
Maps & DirectionsBala Institute Of Oral Surgery is a Oral and Maxillofacial Dental Clinic in Bala Cynwyd, Pennsylvania. It is located at 15 Presidential Blvd, Suite 301, Bala Cynwyd, PA and its contact number is 610-667-6161. The authorized person for Bala Institute Of Oral Surgery is Lisa Waxman
who is Office Manager of the clinic and their contact number is 484-680-6405. The primary license number for Bala Institute Of Oral Surgery is DS023126L (Oral and Maxillofacial Surgery) in Pennsylvania.
Bala Institute Of Oral Surgery Clinic deals with the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Complete Clinic Profile:
Bala Institute Of Oral Surgery Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Bala Institute Of Oral Surgery |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 15 Presidential Blvd, Suite 301, Bala Cynwyd,
Pennsylvania, 19004-1006 |
| Phone: | 610-667-6161 |
| Fax: | 610-617-9275 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Lisa Waxman |
| Position: | Office Manager |
| Contact Number: | 484-680-6405 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Bala Institute Of Oral Surgery clinic are as mentioned below.
| NPI Number: | 1477567782 |
| NPI Enumeration Date: | 29 Jul, 2006 |
| NPI Last Update On: | 04 Mar, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bala Institute Of Oral Surgery are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | DS023126L | Pennsylvania | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 172847 | Other | Pennsylvania | Blue Shield |
| 1610569 | Other | Pennsylvania | United Concordia |
| 3776353 | Other | Pennsylvania | Aetna |
| MA172847 | Other | Pennsylvania | Highmark |
| 1610569 | Other | Pennsylvania | Blue Shield |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Bala Institute Of Oral Surgery
15 N Presidential Boulevard, Suite 301
Bala Cynwyd, Pennsylvania |
| Zip: | 19004 |
| Phone Number: | 610-667-6161 |
| Fax Number: | 610-617-9275 |
Patients can reach Bala Institute Of Oral Surgery at
15 Presidential Blvd, Suite 301, Bala Cynwyd, Pennsylvania or can
call to book an appointment on 610-667-6161.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.