Organization Active NPI

Oral Surgery & Dental Implant Center Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Middletown, RI
National Provider Identifier
1497888168
Registry record updated Mar 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DEN2276 Issued in RI
Legal business name
ORAL SURGERY & DENTAL IMPLANT CENTER INC
Practice address
65 W Main Rd
Middletown, RI 02842-4933
Phone
(401) 848-0070
Fax
(401) 848-2225
NPI assigned
Mar 13, 2007
Last updated
Mar 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2024

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

Authorized official

Name
Mrs. Valerie Mercer
Title
Office Manager
Phone
(401) 848-0070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DEN2276 RI Primary

Addresses

Primary practice location

65 W Main Rd
Middletown, RI 02842-4933

Mailing address

65 W Main Rd
Middletown, RI 02842-4933
Phone (401) 848-0070

National Provider Directory

National Provider Directory

Locations

65 W Main Rd
Middletown, RI 02842
Phone (401) 848-0070

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711152000000",
    "number": "1497888168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 W MAIN RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028424933",
            "telephone_number": "401-848-0070",
            "fax_number": "401-848-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 W MAIN RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028424933",
            "telephone_number": "401-848-0070",
            "fax_number": "401-848-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL SURGERY & DENTAL IMPLANT CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2024-03-23",
        "certification_date": "2024-03-23",
        "status": "A",
        "authorized_official_last_name": "MERCER",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "401-848-0070",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "RI",
            "license": "DEN2276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2024; 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.