Oral and Facial Surgery Institute PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

30729 Issued in TX

Legal business name

ORAL AND FACIAL SURGERY INSTITUTE PA

Doing business as

Oral and Facial Surgery Institute of Houston

Practice address

4724 Sweetwater Blvd Ste 105
Sugar Land, TX 77479

Phone

(281) 491-4545

Fax

(281) 491-7134

NPI assigned

Aug 25, 2014

Organization subpart

No

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

Authorized official

Name

Gina Casu

Title

Credentialing Manager

Phone

(713) 790-6477

Specialties & licenses 1

Addresses

Other names 1

• Oral and Facial Surgery Institute of Houston Doing business as

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1003216250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4724 SWEETWATER BLVD STE 105",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793150",
            "telephone_number": "281-491-4545",
            "fax_number": "281-491-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4724 SWEETWATER BLVD STE 105",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "77479",
            "telephone_number": "281-491-4545",
            "fax_number": "281-491-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL AND FACIAL SURGERY INSTITUTE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "CASU",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "713-790-6477"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "30729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oral and Facial Surgery Institute of Houston",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oral and Facial Surgery Institute of Houston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optimum Women'S Care PLLC
• Optum Clinic, PA
• Oral & Maxillofacial Surgery Associates Southwest, PLLC
• Oral and Maxillofacial Surgeons, SW, PC
• Orbitvend
• Orestes Ordonez, SA-C
• Stephanie Rose Oreilly, PT, MSPT
• Marcela Leticia Orellana Galvez, DPM

• Oral and Maxillofacial Surgery (Dentist) in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.