Pediatric Oral Surgery and General Dental Inc SC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PEDIATRIC ORAL SURGERY AND GENERAL DENTAL INC SC

Practice address

9134 W Silver Spring Dr
Milwaukee, WI 53225-3414

Phone

(414) 210-6222

NPI assigned

Mar 21, 2024

Last updated

Mar 21, 2024By 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

Murtaza SajanNPI 1255691697

Title

Ceo

Phone

(414) 732-1023

Specialties & licenses 1

Addresses

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.

• Murtaza Makbul Sajan, DDS

  • Dentist
  • Milwaukee, WI
  • NPI 1255691697
  NPD Authorized official

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1518727932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9134 W SILVER SPRING DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532253414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9134 W SILVER SPRING DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532253414",
            "telephone_number": "414-210-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ORAL SURGERY AND GENERAL DENTAL INC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "SAJAN",
        "authorized_official_first_name": "MURTAZA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-732-1023"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Dee Pederson
• Elizabeth Anne Pedi, DPT
• Pediatric and Adult Medicine Associates S.C.
• Pediatric Diagnostic Imaging, S.C.
• Pediatric Ear, Nose & Throat Specialists SC
• Pediatric Radiologic Services SC
• Kathrine E Pedriana, PA
• Pedro N Banda MD SC (Capitol Allergy Clinic)
• Jacqueline O Peebles, MD
• Benjamin Peerbolt, LCSW

• Dental Clinic/Center in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Dental Clinic/Center in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.