Wausau Oral Surgery and Dental Implant Center, SC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

5943-15 Issued in WI

Legal business name

WAUSAU ORAL SURGERY AND DENTAL IMPLANT CENTER, SC

Practice address

3000 Westhill Dr
Suite 301
Wausau, WI 54401-3795

Phone

(715) 845-4511

Fax

(715) 845-1898

NPI assigned

Sep 8, 2016

Last updated

Sep 8, 2016By 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. Parimal Sapovadia, DMD

Title

Oral Surgeon/President

Phone

(715) 845-4511

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1497202386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 WESTHILL DR",
            "address_2": "SUITE 301",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544013795",
            "telephone_number": "715-845-4511",
            "fax_number": "715-845-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 WESTHILL DR",
            "address_2": "SUITE 301",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544013795",
            "telephone_number": "715-845-4511",
            "fax_number": "715-845-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAUSAU ORAL SURGERY AND DENTAL IMPLANT CENTER, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "SAPOVADIA",
        "authorized_official_first_name": "PARIMAL",
        "authorized_official_title_or_position": "ORAL SURGEON/PRESIDENT",
        "authorized_official_telephone_number": "715-845-4511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WI",
            "license": "5943-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Wausau Health Services
• Wausau Heart & Lung Surgeons
• Wausau Podiatry Center LTD
• Wausau Psychiatrists SC
• Wausau School District
• Wausau Smiles, LLC
• Wausau Spine & Rehab LLC

• Oral and Maxillofacial Surgery (Dentist) in Wausau, WI
• Providers in Wausau, WI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.