Active NPI
Oral Surgery Center PC
- Oral and Maxillofacial Surgery (Dentist)
- Norfolk, NE
National Provider Identifier
1053598854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- ORAL SURGERY CENTER PC
- Practice address
- 2501 Lakeridge Dr
Norfolk, NE 68701 - Phone
- (402) 644-4452
- Fax
- (402) 644-4454
- NPI assigned
- Jan 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gary Alan Flower, DMD
- Title
- President Oral Surgeon
- Phone
- (402) 644-4452
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
2501 Lakeridge Dr
Norfolk, NE 68701
Mailing address
2501 Lakeridge Dr
Norfolk, NE 68701
Phone (402) 644-4452
National Provider Directory
National Provider DirectoryLocations
1014 W 8th St
Yankton, SD 57078
Phone (605) 665-2565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1053598854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 LAKERIDGE DR",
"city": "NORFOLK",
"state": "NE",
"postal_code": "68701",
"telephone_number": "402-644-4452",
"fax_number": "402-644-4454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 LAKERIDGE DR",
"city": "NORFOLK",
"state": "NE",
"postal_code": "68701",
"telephone_number": "402-644-4452",
"fax_number": "402-644-4454"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORAL SURGERY CENTER PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-24",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "FLOWER",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "PRESIDENT ORAL SURGEON",
"authorized_official_telephone_number": "402-644-4452",
"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": []
}
Other providers in Norfolk, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.