BZG Oral and Maxillofacial Surgery Center LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

BZG ORAL AND MAXILLOFACIAL SURGERY CENTER LLC

Practice address

1223 N Providence Rd
Media, PA 19063-1235

Phone

(610) 566-5555

NPI assigned

Apr 3, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Brett Godlewski, DMD

Title

Dr./Oral Surgeon

Phone

(412) 736-0861

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522713600000",
    "number": "1023514403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 N PROVIDENCE RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 N PROVIDENCE RD",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190631235",
            "telephone_number": "610-566-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BZG ORAL AND MAXILLOFACIAL SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2018-04-03",
        "status": "A",
        "authorized_official_last_name": "GODLEWSKI",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "DR./ORAL SURGEON",
        "authorized_official_telephone_number": "412-736-0861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Burman, PSYD
• Tyler Burt
• Burton J Williams MD PC
• Justin Bwint, PSY.D, MBA, BCB
• Kristina Bystrak, DPM
• David B Cahn, DO, MBS, FACOS
• Taryn Cain-Strobel, LMFT
• Richard E Calhoun, PH.D.
• Lisa Marie Callaghan, P.T.A.
• Donald Drews Cameron, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Media, PA
• Providers in Media, 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 Apr 3, 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.