Organization Active NPI

Oral Surgery Center Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Fort Smith, AR
National Provider Identifier
1285826933
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
3583 Issued in AR
Legal business name
ORAL SURGERY CENTER INC
Practice address
600 Lexington Avenue
Fort Smith, AR 72901-4737
Phone
(479) 434-4430
Fax
(479) 434-4438
NPI assigned
Aug 16, 2007
Last updated
Feb 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Dr. Rocky Don Cullens, DDSNPI 1528086352
Title
President
Phone
(479) 434-4430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 3583 AR Primary

Addresses

Primary practice location

600 Lexington Avenue
Fort Smith, AR 72901-4737

Mailing address

600 Lexington Avenue
Fort Smith, AR 72901-4737
Phone (479) 434-4430

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1285826933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 LEXINGTON AVENUE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014737",
            "telephone_number": "479-434-4430",
            "fax_number": "479-434-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 LEXINGTON AVENUE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729014737",
            "telephone_number": "479-434-4430",
            "fax_number": "479-434-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "CULLENS",
        "authorized_official_first_name": "ROCKY",
        "authorized_official_middle_name": "DON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-434-4430",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AR",
            "license": "3583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.