University Oral & Maxillo Facial Surgeons

Primary specialty

SpecialistTaxonomy code 174400000X

License

5360 Issued in OK

Legal business name

UNIVERSITY ORAL & MAXILLO FACIAL SURGEONS

Practice address

1201 N Stonewall Ave
RM 418a
Oklahoma City, OK 73117-1214

Phone

(405) 271-5744

Fax

(405) 271-4181

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Paul Mullasseril, D.D.S. M.S.NPI 1164585519

Title

Director of Maxillofacial Pros

Phone

(405) 271-5744

Specialties & licenses 1

Addresses

Tax ID family

University Oral Maxillo Facial Surgeons2 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.

• University Oral & Maxillofacial Surgeons

  • Oral and Maxillofacial Surgery (Dentist)
  • Oklahoma City, OK
  • NPI 1962523100
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Mathews Mullasseril, DDS

  • Prosthodontics
  • Oklahoma City, OK
  • NPI 1164585519
  NPD (past) Authorized official

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1487875258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26901",
            "address_2": "DCS209",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731900001",
            "telephone_number": "405-271-5744",
            "fax_number": "405-271-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N STONEWALL AVE",
            "address_2": "RM 418A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731171214",
            "telephone_number": "405-271-5744",
            "fax_number": "405-271-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY ORAL & MAXILLO FACIAL SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "MULLASSERIL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DIRECTOR OF MAXILLOFACIAL PROS",
        "authorized_official_telephone_number": "405-271-5744",
        "authorized_official_credential": "D.D.S. M.S."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "5360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University of Oklahoma
• University of Oklahoma College of Dentistry
• University of Oklahoma College of Medicine
• University of Oklahoma Heal Sci Ctr College of Medicine Ophthalmology
• University of Oklahoma Health Science Center
• University Oral & Maxillofacial Surgeons
• Jennifer Lee Unruh, ARNP
• Micky Renee Unruh, LPC
• Kayla Unsell, MD
• Robert S Unsell, MD

• Specialist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.