Oral Surgery Associates

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

030712-1 Issued in NY

Legal business name

ORAL SURGERY ASSOCIATES

Practice address

161 Riverside Dr
Suite 201
Binghamton, NY 13905-4176

Phone

(607) 798-7169

Fax

(607) 798-9204

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael J Fidler, DDSNPI 1568468130

Title

Oral Surgeon

Phone

(607) 798-7169

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Michael J Fidler, DDS

  • Oral and Maxillofacial Pathology Dentistry
  • Binghamton, NY
  • NPI 1568468130
  NPD (past) Authorized official
• Mark Allen Dreher, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Binghamton, NY
  • NPI 1962602177
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639216690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 RIVERSIDE DR",
            "address_2": "SUITE 201",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139054176",
            "telephone_number": "607-798-7169",
            "fax_number": "607-798-9204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 RIVERSIDE DR",
            "address_2": "SUITE 201",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139054176",
            "telephone_number": "607-798-7169",
            "fax_number": "607-798-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL SURGERY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FIDLER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "607-798-7169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "030712-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00554912",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn J Olson, RN
• Judith Olson, RN
• Colleen S Oneil, CASAC
• Bridget Oppong-Darko, FNP-C
• Jason Oppong
• Amanke Chigozie Oranu, M.D
• William Raymond Orr, LCSW
• Eden Ortal, MD
• Orthopedic Associates of 65 Penna Avenue, PC
• Christine Osgood, PT

• Oral and Maxillofacial Surgery (Dentist) in Binghamton, NY
• Providers in Binghamton, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• 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.