Sai Oral Surgery

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

DN19304 Issued in FL

Legal business name

SAI ORAL SURGERY

Practice address

1728 Dunlawton Ave
Suite 3
Port Orange, FL 32127-2922

Phone

(412) 913-8877

NPI assigned

Apr 13, 2016

Organization subpart

No

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

Authorized official

Name

Sravanthi Ganne, DDS MDNPI 1972764967

Title

President

Phone

(412) 913-8877

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.

• Sravanthi Ganne, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Port Orange, FL
  • NPI 1972764967
  NPD (past) Authorized official

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1477917706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 DUNLAWTON AVE",
            "address_2": "SUITE 3",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321272922",
            "telephone_number": "412-913-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 DUNLAWTON AVE",
            "address_2": "SUITE 3",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321272922",
            "telephone_number": "412-913-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAI ORAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "GANNE",
        "authorized_official_first_name": "SRAVANTHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-913-8877",
        "authorized_official_credential": "DDS MD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN19304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilary Rzadca
• Marwan Mohammad Saad Eddin
• Hayden Sadowsky, D.C.
• Farhad Safi, M.D.
• Marianne Sahr
• Adam Robert Sainato, D.C.
• Miriam L Saldon
• Sadaf Salehi Qeshmi
• Kenneth R Salvas, ED.D.
• Kyle Samek

• Oral and Maxillofacial Surgery Clinic/Center in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.