Oral Surgery Office, Inc.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

91830 Issued in CA

Legal business name

ORAL SURGERY OFFICE, INC.

Practice address

730 Sunrise Ave
Suite 130
Roseville, CA 95661-4567

Phone

(916) 782-2161

Fax

(916) 782-0677

NPI assigned

Oct 4, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Tiffany Settle

Title

Practice Manager

Phone

(916) 487-5152

Specialties & licenses 1

Addresses

Other names 1

• Dr. Reginal gowans Other name

Tax ID family

Dr Reginal Gowans2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Oral Surgery Office Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Roseville, CA
  • NPI 1104002294
  NPD tax ID

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1306034285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 SUNRISE AVE",
            "address_2": "SUITE 130",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614567",
            "telephone_number": "916-782-2161",
            "fax_number": "916-782-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 SUNRISE AVE",
            "address_2": "SUITE 130",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614567",
            "telephone_number": "916-782-2161",
            "fax_number": "916-782-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL SURGERY OFFICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "SETTLE",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "916-487-5152",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "91830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Reginal gowans",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Oral Surgery Office Inc
• Jennifer Alexis Orantes
• Aaron Todd Oravetz
• Roxanne Sherrill Oravetz, M.A.
• Lilian Ordonez Paz
• Margie Ordonio-Sasaura, P.T.

• Oral and Maxillofacial Surgery (Dentist) in Roseville, CA
• Providers in Roseville, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.