Oral Surgery LTD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

1421 Issued in AZ

Legal business name

ORAL SURGERY LTD

Practice address

1277 E Missouri Ave
#110
Phoenix, AZ 85014-2915

Phone

(602) 248-8745

Fax

(602) 248-7939

NPI assigned

Oct 13, 2006

Last updated

Aug 22, 2020By 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

Lee Robert Raddatz, DDSNPI 1942588710

Title

President

Phone

(602) 248-8745

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Lee Robert Raddatz, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Phoenix, AZ
  • NPI 1942588710
  NPD (past) Authorized official
• Caesar C Butura, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Phoenix, AZ
  • NPI 1578668042
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255421897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1277 E MISSOURI AVE",
            "address_2": "#110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142915",
            "telephone_number": "602-248-8745",
            "fax_number": "602-248-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1277 E MISSOURI AVE",
            "address_2": "#110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142915",
            "telephone_number": "602-248-8745",
            "fax_number": "602-248-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL SURGERY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RADDATZ",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-248-8745",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AZ",
            "license": "1421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Alaba Opuroku, LPN
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• Oral & Facial Surgeons of Arizona
• Oral Educational Opportunities for Hearing Impaired (Desert Voices)
• Brian Oran, PHARMD.
• Orange Tree Psychotherapy LLC (Orange Tree Psychotherapy)
• Chukwuemeka Dele Oranyeli, MD
• Meagan Judith Lowell Orban, M.S., OTR/L
• Richard Joseph Orbon, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Oral and Maxillofacial Surgery (Dentist) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.