Oral Surgery Center of West Orlando

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

07-00004492 Issued in FL

Legal business name

ORAL SURGERY CENTER OF WEST ORLANDO

Practice address

12200 W Colonial Dr
Suite 103
Winter Garden, FL 34787-4125

Phone

(407) 656-9455

Fax

(407) 656-6145

NPI assigned

May 10, 2007

Last updated

May 18, 2010By 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. Hector L Briceno, DMDNPI 1265568208

Title

Oral Surgeon

Phone

(407) 656-9455

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.

• Hector L Briceno, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Winter Garden, FL
  • NPI 1265568208
  NPD (past) Authorized official

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1588878441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 W COLONIAL DR",
            "address_2": "SUITE 103",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874125",
            "telephone_number": "407-656-9455",
            "fax_number": "407-656-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 W COLONIAL DR",
            "address_2": "SUITE 103",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874125",
            "telephone_number": "407-656-9455",
            "fax_number": "407-656-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL SURGERY CENTER OF WEST ORLANDO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "BRICENO",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "407-656-9455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "07-00004492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Shingleton Olson, LCSW
• Robert Paul Olson, M.D.
• Om RX Partners LLC (Horizon West Pharmacy)
• Omnibiz LLC
• Open Book Behavioral Tutoring LLC
• Oral Surgical Institute
• Rejennette Ordiz
• Orlando Compounding Pharmacy (Formula Pharmacy)
• Orlando Health Central, Inc. (Health Central Park)
• Orlando Health Medical Group Inc

• Oral and Maxillofacial Surgery (Dentist) in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; 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.