Organization Active NPI

Exton Oral Surgery LLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Exton, PA
National Provider Identifier
1295348258
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
EXTON ORAL SURGERY LLC
Practice address
670 W Lincoln Hwy
Exton, PA 19341-2514
Phone
(610) 228-2391
NPI assigned
Aug 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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

Authorized official

Name
Mrs. Jaanvi Bhagat
Title
Owner
Phone
(215) 237-3335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

670 W Lincoln Hwy
Exton, PA 19341-2514

Mailing address

201 S Easton Rd
Glenside, PA 19038-4428
Phone (610) 228-2391

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598572800000",
    "number": "1295348258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S EASTON RD",
            "city": "GLENSIDE",
            "state": "PA",
            "postal_code": "190384428",
            "telephone_number": "610-228-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 W LINCOLN HWY",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412514",
            "telephone_number": "610-228-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTON ORAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "BHAGAT",
        "authorized_official_first_name": "JAANVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-237-3335",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.