Spotsylvania Oral Surgery PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

SPOTSYLVANIA ORAL SURGERY PLLC

Practice address

10406 Courthouse Rd
Spotsylvania, VA 22553-1712

Phone

(540) 898-7645

NPI assigned

May 14, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Brenda Moody

Title

Regional Manager

Phone

(540) 710-6000

Specialties & licenses 1

Addresses

Tax ID family

Ahmadiyar Motamedi IV PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ahmadiyar & Motamedi, IV, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Spotsylvania, VA
  • NPI 1326235615
  NPD tax ID

Locations

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1235517962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10406 COURTHOUSE RD",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225531712",
            "telephone_number": "540-898-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10406 COURTHOUSE RD",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225531712",
            "telephone_number": "540-898-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOTSYLVANIA ORAL SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "540-710-6000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Solution Focused Family Interventions
• Victoria Nicole Somers, LMT
• Sonya Sparks
• Spotsylvania County Board of Supervisors
• Spotsylvania Oral Surgery Center PLLC
• Laura Marie Sullivan-Simenson, FNP-BC
• Christie Dawn Sullivan
• Melissa Sullivan
• Kimberly Swaim, MS, CCC/SLP
• Sarah Tabor, BCABA

• Oral and Maxillofacial Surgery (Dentist) in Spotsylvania, VA
• Providers in Spotsylvania, VA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.