Frank J. Greskovich & James H. Balcom DSS PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

5532C Issued in AL

Legal business name

FRANK J. GRESKOVICH & JAMES H. BALCOM DSS PA

Doing business as

Oral & Maxillofacial Surgery Associates

Practice address

4850 N 9TH Ave Ste 4
Pensacola, FL 32503-2406

Phone

(850) 477-1125

NPI assigned

May 22, 2007

Last updated

Jul 24, 2007By 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. Mark S GreskovichNPI 1316970197

Title

President

Phone

(850) 477-1125

Specialties & licenses 1

Addresses

Other names 1

• Oral & Maxillofacial Surgery Associates Doing business as

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.

• Mark S. Greskovich, D.M.D, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Pensacola, FL
  • NPI 1316970197
  Authorized official Same address or phone

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1467661819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 N 9TH AVE STE 4",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 N 9TH AVE STE 4",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032406",
            "telephone_number": "850-477-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK J. GRESKOVICH & JAMES H. BALCOM DSS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "GRESKOVICH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-477-1125",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AL",
            "license": "5532C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oral & Maxillofacial Surgery Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aviv Fraiman, DO
• Colleen Karen Fralinger, OTD, OTR/L
• Nova Sarah Francis-Wallace, APRN, FNP-C
• Stephanie Sharples Francis, MS
• Frank Francone, M.D.
• Desha Frank, BCABA
• Eric Lawrence Frank, D.C.
• Robert Arthur Frank, M.D.
• Sarah Frank, MSW
• Franklin E. May,DDS,PA

• Oral and Maxillofacial Surgery (Dentist) in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.