Oza Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

30486 Issued in TX

Legal business name

OZA DENTAL PLLC

Practice address

1561 SW Wilshire Blvd
Suite 435
Burleson, TX 76028-8719

Phone

(201) 744-0760

NPI assigned

Jan 11, 2016

Organization subpart

No

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

Authorized official

Name

Jay Oza

Title

Manager

Phone

(201) 744-0760

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1265898977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 TOWNE CROSSING BLVD",
            "address_2": "APT 1213",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638905",
            "telephone_number": "201-744-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 SW WILSHIRE BLVD",
            "address_2": "SUITE 435",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760288719",
            "telephone_number": "201-744-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "OZA",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "201-744-0760"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "30486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340662101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Burleson, TX
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.