Oral and Maxillo-Facial Surgery, Inc.

Primary specialty

Oral and Maxillofacial Radiology DentistryTaxonomy code 1223X0008X

License

DS017187L Issued in PA

Legal business name

ORAL AND MAXILLO-FACIAL SURGERY, INC.

Practice address

432 Rolling Ridge Drive
Suite 2
State College, PA 16801

Phone

(814) 234-0921

Fax

(814) 234-6240

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Harold J. Haney, DMD

Title

Oral Surgeon

Phone

(814) 234-0921

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1447388590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 ROLLING RIDGE DRIVE",
            "address_2": "SUITE 2",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "16801",
            "telephone_number": "814-234-0921",
            "fax_number": "814-234-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 ROLLING RIDGE DRIVE",
            "address_2": "SUITE 2",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "16801",
            "telephone_number": "814-234-0921",
            "fax_number": "814-234-6240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL AND MAXILLO-FACIAL SURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "HANEY",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "814-234-0921",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0008X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": "PA",
            "license": "DS017187L",
            "primary": true
        },
        {
            "code": "1223X0008X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": "PA",
            "license": "DS024017L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• One Step at a Time Therapy LLC
• Carly Michelle Onkotz, PT, DPT
• Open Nest Therapy & Assessment, PLLC
• Brian P. Oppermann, M.D.
• Priscilla Oputa, NP
• Gregory Michael Oravec
• William Orlando
• Beth Ann Ortiz
• Kannika M Osborne, WHNP
• David Oselinsky, M.D.

• Dentist in State College, PA
• Providers in State College, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.