Oral Surgical Institute

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ORAL SURGICAL INSTITUTE

Practice address

1291 Winter Garden Vineland Rd
150
Winter Garden, FL 34787-6705

Phone

(407) 625-3646

NPI assigned

May 5, 2014

Organization subpart

No

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

Authorized official

Name

Dr. John Howard Hardeman, DDS, MD

Title

President

Phone

(407) 625-3646

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1184034720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 691747",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328691747",
            "telephone_number": "407-625-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1291 WINTER GARDEN VINELAND RD",
            "address_2": "150",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347876705",
            "telephone_number": "407-625-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL SURGICAL INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "HARDEMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-625-3646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "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": []
}

• Robert Paul Olson, M.D.
• Om RX Partners LLC
• Omnibiz LLC
• Open Book Behavioral Tutoring LLC
• Oral Surgery Center of West Orlando
• Rejennette Ordiz
• Orlando Compounding Pharmacy
• Orlando Health Central, Inc.
• Orlando Health Medical Group Inc
• Orlando Orthopaedic Center MD PA

• Oral and Maxillofacial Surgery (Dentist) in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.