Bozeman Oral Surgery and Implant Center

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

BOZEMAN ORAL SURGERY AND IMPLANT CENTER

Practice address

4535 Valley Commons Dr Ste 102
Bozeman, MT 59718-4161

Phone

(406) 551-2816

NPI assigned

Jul 1, 2019

Last updated

Jul 1, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jarom Maurer, DMDNPI 1265727150

Title

Owner/Provider

Phone

(406) 551-2816

Specialties & licenses 1

Addresses

Locations

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.

• Jarom E. Maurer, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Bozeman, MT
  • NPI 1265727150
  NPD (past) Authorized official

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561939200000",
    "number": "1407418312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 VALLEY COMMONS DR STE 102",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597184161",
            "telephone_number": "406-551-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 VALLEY COMMONS DR STE 102",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597184161",
            "telephone_number": "406-551-2816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOZEMAN ORAL SURGERY AND IMPLANT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A",
        "authorized_official_last_name": "MAURER",
        "authorized_official_first_name": "JAROM",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "406-551-2816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "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": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Oral and Maxillofacial Surgery (Dentist) in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.