PA Oral Facial & Implant Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

PA ORAL FACIAL & IMPLANT SURGERY

Practice address

90 Beaver Dr
Suite 101a
Du Bois, PA 15801-2440

Phone

(814) 375-0500

Fax

(814) 375-0124

NPI assigned

Jan 9, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Barbara Spohn

Title

Office Manager

Phone

(814) 375-0500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1063801397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 BEAVER DR",
            "address_2": "SUITE 101A",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012440",
            "telephone_number": "814-375-0500",
            "fax_number": "814-375-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BEAVER DR",
            "address_2": "SUITE 101A",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012440",
            "telephone_number": "814-375-0500",
            "fax_number": "814-375-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PA ORAL FACIAL & IMPLANT SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "SPOHN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "814-375-0500",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meri Christine Orinko
• Jonathan M Orris Sr.
• Gretchen Orzechowski, AU.D. CCC-A
• Teniola O Osundeko, LCSW, PHD
• P&G Physical Therapy, Inc
• James P Pacelli Jr., M.D.
• Oksana N Palatna, D.O.
• Mandi Palumbo
• Gabrielle Rosalee Papia, DO
• Purvi Shah Parekh, D.O.

• Oral and Maxillofacial Surgery (Dentist) in Du Bois, PA
• Providers in Du Bois, 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 Jan 9, 2015; 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.