Organization Active NPI

Oral Plastic Surgery Assoc PA

  • General Practice Dentistry
  • Altamonte Springs, FL
National Provider Identifier
1568586915
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN12042 Issued in FL
Legal business name
ORAL PLASTIC SURGERY ASSOC PA
Practice address
499 E Central Parkway
Suite #220
Altamonte Springs, FL 32701
Phone
(407) 831-4008
Fax
(407) 831-8604
NPI assigned
Mar 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Don M Preble, NDDNPI 1952731143
Title
President
Phone
(407) 831-4008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN12042 FL Primary

Addresses

Primary practice location

499 E Central Parkway
Suite #220
Altamonte Springs, FL 32701

Mailing address

499 E Central Parkway
Suite #220
Altamonte Springs, FL 32701
Phone (407) 831-4008

National Provider Directory

National Provider Directory

Locations

499 E Central Pkwy
Ste 220
Altamonte Springs, FL 32701
Phone (407) 831-4008

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": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568586915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 E CENTRAL PARKWAY",
            "address_2": "SUITE #220",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32701",
            "telephone_number": "407-831-4008",
            "fax_number": "407-831-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 E CENTRAL PARKWAY",
            "address_2": "SUITE #220",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "32701",
            "telephone_number": "407-831-4008",
            "fax_number": "407-831-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL PLASTIC SURGERY ASSOC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PREBLE",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-831-4008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NDD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN12042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.