Ocean State Oral Surgery Center,LLC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

DEN03249 Issued in RI

Legal business name

OCEAN STATE ORAL SURGERY CENTER,LLC

Practice address

468 Smithfield Rd
North Providence, RI 02904-4238

Phone

(401) 353-1515

NPI assigned

Mar 4, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Aaron Christopher Ercole, D.D.S.

Title

Owner of Business

Phone

(562) 833-5570

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1425427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1225420979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "468 SMITHFIELD RD",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044238",
            "telephone_number": "401-353-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "468 SMITHFIELD RD",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044238",
            "telephone_number": "401-353-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN STATE ORAL SURGERY CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-04",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "ERCOLE",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER OF BUSINESS",
        "authorized_official_telephone_number": "562-833-5570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "RI",
            "license": "DEN03249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren K O'Brien, RDN
• Kevin P. O'Connell, M.D.
• Catherine R O'Shaughnessy
• Deirdre O'Sullivan, CRNA
• Ocean State Academy Learning Center LLC
• Ocean State Urgent Care Center of North Providence, LLC
• George Oganesian
• Samuel P Oh, M.D.
• Celestina Okai
• Mara Rosa Olink, MSW, LICSW

• Oral and Maxillofacial Surgery Clinic/Center in North Providence, RI
• Providers in North Providence, RI by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.