Organization Active NPI

Bucks County Oral and Maxillofacial Surgeons PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Doylestown, PA
National Provider Identifier
1124164256
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DS028368L Issued in PA
Legal business name
BUCKS COUNTY ORAL AND MAXILLOFACIAL SURGEONS PC
Practice address
467 N Main St
Doylestown, PA 18901-3403
Phone
(215) 348-0909
Fax
(215) 348-3004
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Authorized official

Name
Dr. Michael Sebastian Desalvo, DMD
Title
President
Phone
(215) 348-0909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X DS028368L PA Primary

Addresses

Primary practice location

467 N Main St
Doylestown, PA 18901-3403

Mailing address

467 N Main St
Doylestown, PA 18901-3403
Phone (215) 348-0909

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1124164256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 N MAIN ST",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189013403",
            "telephone_number": "215-348-0909",
            "fax_number": "215-348-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 N MAIN ST",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189013403",
            "telephone_number": "215-348-0909",
            "fax_number": "215-348-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKS COUNTY ORAL AND MAXILLOFACIAL SURGEONS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "DESALVO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SEBASTIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-348-0909",
        "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": "PA",
            "license": "DS028368L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.