Solomon Oral Surgery LLC

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

Legal business name

SOLOMON ORAL SURGERY LLC

Practice address

3102 N Highway 17
Mount Pleasant, SC 29466-6925

Phone

(843) 871-0842

NPI assigned

Jan 25, 2021

Last updated

Jan 25, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

A. FREDERICK SOLOMON DMD P.A.As reported in NPPES

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

Authorized official

Name

Angela Bazzle

Title

Operations Manager

Phone

(843) 871-0843

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Part of

A Frederick Solomon DMD PA

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• A. Frederick Solomon DMD P.a.

  • Dentist
  • Summerville, SC
  • NPI 1063579829
  NPPES parent name

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1629668538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1971 N MAIN ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294867890",
            "telephone_number": "843-871-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 N HIGHWAY 17",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294666925",
            "telephone_number": "843-871-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLOMON ORAL SURGERY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "A. FREDERICK SOLOMON DMD P.A.",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "BAZZLE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "843-871-0843"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX8797",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX9601",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Summerville",
            "affiliation": "Y",
            "affiliationName": "A. Frederick Solomon DMD P.A.",
            "address_1": "1971 N Main St",
            "city": "Summerville",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294867890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Susan Sobczak, RN
• Opal Elaine Sobieszczyk, RN
• Social Butterflies, LLC
• Michael Joseph Sole
• Solis Medical Group Ca PC
• Kerry D Solomon, MD
• Lauren Soltis
• Solutions Integrative Health Care LLC
• Cori Elizabeth Sondervan, APN, FNP-C
• Young Sug Song, MD

• Oral and Maxillofacial Surgery Clinic/Center in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Oral and Maxillofacial Surgery Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.