Delaware Oral & Maxillofacial Surgery,LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

DELAWARE ORAL & MAXILLOFACIAL SURGERY,LLC

Practice address

200 Biddle Ave
214
Newark, DE 19702-3968

Phone

(302) 595-4642

Fax

(302) 595-4648

NPI assigned

Jan 17, 2013

Last updated

Jan 22, 2013By 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. Samuel C Nwogu, D.D.S.NPI 1598889438

Title

Oral & Maxillofacial Surgeon/Owner

Phone

(302) 595-4642

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, and the practitioner matching its NPPES authorized official.

• Samuel C Nwogu, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Newark, DE
  • NPI 1598889438
  NPD (past) Authorized official

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1518205137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BIDDLE AVE",
            "address_2": "214",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197023968",
            "telephone_number": "302-595-4642",
            "fax_number": "302-595-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BIDDLE AVE",
            "address_2": "214",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197023968",
            "telephone_number": "302-595-4642",
            "fax_number": "302-595-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELAWARE ORAL & MAXILLOFACIAL SURGERY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "NWOGU",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ORAL & MAXILLOFACIAL SURGEON/OWNER",
        "authorized_official_telephone_number": "302-595-4642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Newark, DE
• Providers in Newark, DE by specialty
• Oral and Maxillofacial Surgery (Dentist) in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.