Vancouver Oral Surgery Group

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

Legal business name

VANCOUVER ORAL SURGERY GROUP

Practice address

300 SE 120TH Ave
Suite 600
Vancouver, WA 98683-4090

Phone

(360) 260-3290

Fax

(360) 260-3291

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gregory W Boice, DMD

Title

President

Phone

(360) 260-3290

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Daniel R Dorsey, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Vancouver, WA
  • NPI 1225134497
  NPD (past)
• Dana Andrew Jensen, D.M.D

  • Oral and Maxillofacial Surgery (Dentist)
  • Vancouver, WA
  • NPI 1437240405
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1568568772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SE 120TH AVE STE 800",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986834094",
            "telephone_number": "360-260-3290",
            "fax_number": "360-260-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SE 120TH AVE",
            "address_2": "SUITE 600",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986834090",
            "telephone_number": "360-260-3290",
            "fax_number": "360-260-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCOUVER ORAL SURGERY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "BOICE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-260-3290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Pathology Dentistry in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Oral and Maxillofacial Pathology Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.