Sun City Oral Surgery and Implant Center LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

SUN CITY ORAL SURGERY AND IMPLANT CENTER LLC

Practice address

8815 Dyer St # 215
El Paso, TX 79904-2000

Phone

(915) 200-2943

NPI assigned

May 7, 2025

Last updated

May 7, 2025By 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

Dr. Jake Williams, DDSNPI 1730597832

Title

Owner Dentist

Phone

(385) 335-0928

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.

• Jake Williams, DDS

  • Dentist
  • Colorado Springs, CO
  • NPI 1730597832
  Authorized official Same address or phone

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

{
    "created_epoch": "1746576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1255121018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8815 DYER ST # 215",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799042000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8815 DYER ST # 215",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799042000",
            "telephone_number": "915-200-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN CITY ORAL SURGERY AND IMPLANT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JAKE",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "385-335-0928",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sun City Management Corp.
• Sun City Medical Clinic, P.a.
• Sun City Medical Practice, P.a.
• Sun City Neurology, P.a.
• Sun City Neuromuscular Rehabilitation PLLC
• Sun City Orthopaedic & Hand Surgery Specialists PLLC (Sun City Orthopaedic and Hand Surgery Specialists)
• Sun City Orthopedics
• Sun City Orthopedics
• Sun City Pediatrics, PA
• Sun City Performing Arts Physical Therapy, LLC (Sun City Performing Arts Physical Therapy)

• Oral and Maxillofacial Surgery (Dentist) in El Paso, TX
• Providers in El Paso, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.