Affiliated Oral Surgeons

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

30020543 Issued in OH

Legal business name

AFFILIATED ORAL SURGEONS

Practice address

505 N Cable Rd
Lima, OH 45805-2132

Phone

(419) 331-0000

NPI assigned

Oct 25, 2006

Organization subpart

No

Name

Bryan A Luna, D.D.S.,M.S.NPI 1457399800

Title

Owner

Phone

(419) 331-0000

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

• Bryan A Luna, DDS,MS

  • Oral and Maxillofacial Surgery (Dentist)
  • Lima, OH
  • NPI 1457399800

  Oral and Maxillofacial Surgery

  NPD (past) Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 4, 2008.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1114001997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N CABLE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052132",
            "telephone_number": "419-331-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N CABLE RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052132",
            "telephone_number": "419-331-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED ORAL SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-331-0000",
        "authorized_official_credential": "D.D.S.,M.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30020543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Lima, OH
• Oral and Maxillofacial Surgery (Dentist) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.

Verify at the official NPI Registry.