Springfield Oral Surgery, PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

0401411948 Issued in VA

Legal business name

SPRINGFIELD ORAL SURGERY, PC

Practice address

6120 Brandon Ave
Suite 301
Springfield, VA 22150-2522

Phone

(703) 436-4633

NPI assigned

Oct 17, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Snehal Patel, DDS, MDNPI 1326261058

Title

Owner

Phone

(703) 436-4633

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Snehal Patel, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Vienna, VA
  • NPI 1326261058
  NPD (past) Authorized official
• Lila Kim, D.D.S

  • Oral and Maxillofacial Surgery (Dentist)
  • Lorton, VA
  • NPI 1629119300
  NPD (past)

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1013260983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 BRANDON AVE",
            "address_2": "SUITE 301",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 BRANDON AVE",
            "address_2": "SUITE 301",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502522",
            "telephone_number": "703-436-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD ORAL SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SNEHAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-436-4633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "VA",
            "license": "0401411948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Springfield Healthy Smile
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• Springfield Medical Clinic
• Springfield Modern Dentistry, PC (Springfield Modern Dentistry)
• Springfield Orthodontic Associates, PLLC
• Springfield Pediatric Associates, LTD, P.C.
• Springfield Primary and Walk in Clinic Inc
• Springfield Supp Ctr Inc
• Springfield Transport LLC

• Oral and Maxillofacial Surgery (Dentist) in Springfield, VA
• Providers in Springfield, VA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.