Oral-Facial Surgical Arts PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN16913 Issued in FL

Legal business name

ORAL-FACIAL SURGICAL ARTS PA

Practice address

3180 Citrus Tower Blvd
Clermont, FL 34711

Phone

(352) 243-5599

NPI assigned

Nov 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Michael Achong, DMD, MD

Title

President

Phone

(352) 243-5599

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1205901055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13147 AUBREY LANE",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "34787",
            "telephone_number": "352-243-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 CITRUS TOWER BLVD",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "34711",
            "telephone_number": "352-243-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL-FACIAL SURGICAL ARTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "ACHONG",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-243-5599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN16913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Clermont, FL
• Providers in Clermont, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; 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.