Absolute Oral Surgery & Implant Centers PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS 035849 Issued in PA

Legal business name

ABSOLUTE ORAL SURGERY & IMPLANT CENTERS PC

Doing business as

Absolute Oral Surgery & Implant Centers PC

Practice address

456 School LN
103
Harleysville, PA 19438-1715

Phone

(215) 513-7172

Fax

(215) 513-7192

NPI assigned

Nov 10, 2008

Last updated

Nov 10, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

ORAL SURGERY & IMPLANT CENTERS PCAs reported in NPPES

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

Authorized official

Name

Chad J Gretzula, DMD

Title

Owner

Phone

(215) 513-7172

Specialties & licenses 1

Addresses

Other names 1

• ABSOLUTE ORAL SURGERY & IMPLANT CENTERS PC Doing business as

Part of

Absolute Oral Surgery Implant Centers PC

Locations

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226275200000",
    "number": "1255585873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 SCHOOL LN",
            "address_2": "103",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194381715",
            "telephone_number": "215-513-7172",
            "fax_number": "215-513-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 SCHOOL LN",
            "address_2": "103",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194381715",
            "telephone_number": "215-513-7172",
            "fax_number": "215-513-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE ORAL SURGERY & IMPLANT CENTERS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORAL SURGERY & IMPLANT CENTERS PC",
        "enumeration_date": "2008-11-10",
        "last_updated": "2008-11-10",
        "status": "A",
        "authorized_official_last_name": "GRETZULA",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-513-7172",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS 035849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABSOLUTE ORAL SURGERY & IMPLANT CENTERS PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oral and Maxillofacial Surgery (Dentist) in Harleysville, PA
• Providers in Harleysville, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.