Academy Oral Surgery LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS026745L Issued in PA

Legal business name

ACADEMY ORAL SURGERY LLC

Practice address

10101 Academy Rd
Philadelphia, PA 19114-1120

Phone

(215) 637-5800

NPI assigned

Oct 12, 2017

Last updated

Oct 12, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott Silverman, DDSNPI 1184920456

Title

Owner

Phone

(215) 637-5800

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott M Silverman, D.M.D.

  • General Practice Dentistry
  • Philadelphia, PA
  • NPI 1184920456
  Authorized official Same address or phone

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507766400000",
    "number": "1174034532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 ACADEMY RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141120",
            "telephone_number": "215-637-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 ACADEMY RD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191141120",
            "telephone_number": "215-637-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMY ORAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2017-10-12",
        "status": "A",
        "authorized_official_last_name": "SILVERMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-637-5800",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS026745L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Alejandro Acaba-Berrocal
• Academy Denistry Group
• Academy Dental Associates, LLC
• Academy Family Dental Care
• Academy Family Dental Care PC
• Academy Orthodontics LLC
• Academy Pharmacy LLC (Academy Pharmacy)
• Academy Pharmacy LLC (Academy Pharmacy)
• Academy Physical Medicine, P.C.
• Academy Road Medical Associates, LLC

• Oral and Maxillofacial Surgery (Dentist) in Philadelphia, PA
• Providers in Philadelphia, 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 Oct 12, 2017; 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.