Antelope Valley Oral Surgery, Dental Group of Gregory R. Urfrig, DMD a

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

License

54374 Issued in CA

Legal business name

ANTELOPE VALLEY ORAL SURGERY, DENTAL GROUP OF GREGORY R. URFRIG, DMD A

Practice address

44439 17TH St W
Suite 102
Lancaster, CA 93534-2831

Phone

(661) 945-4040

Fax

(661) 945-9120

NPI assigned

Nov 12, 2012

Last updated

Nov 12, 2012By 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. Gregory Robert Urfrig, DMD

Title

Partner

Phone

(661) 945-4040

Specialties & licenses 1

Addresses

Other names 1

• Antelope Valley Oral Surgery Other name

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

{
    "created_epoch": "1352678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352678400000",
    "number": "1619211885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44439 17TH ST W",
            "address_2": "SUITE 102",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342831",
            "telephone_number": "661-945-4040",
            "fax_number": "661-945-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44439 17TH ST W",
            "address_2": "SUITE 102",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342831",
            "telephone_number": "661-945-4040",
            "fax_number": "661-945-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTELOPE VALLEY ORAL SURGERY, DENTAL GROUP OF GREGORY R. URFRIG, DMD A",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-12",
        "last_updated": "2012-11-12",
        "status": "A",
        "authorized_official_last_name": "URFRIG",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "661-945-4040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "CA",
            "license": "54374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Antelope Valley Oral Surgery",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Oral & Maxillofacial Surgery (D.M.D.) in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2012; 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.