Shine Oral and Facial Surgery Associates P.C

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS038427 Issued in PA

Legal business name

SHINE ORAL AND FACIAL SURGERY ASSOCIATES P.C

Practice address

400 N Buckstown Rd
Suite 2a
Langhorne, PA 19047-8310

Phone

(215) 750-0200

Fax

(215) 750-1067

NPI assigned

Jan 15, 2014

Organization subpart

No

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

Authorized official

Name

Saman Souri, DMD

Title

President

Phone

(917) 701-3581

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1669894325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 MAPLE ST",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110231133",
            "telephone_number": "917-701-3581",
            "fax_number": "215-750-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N BUCKSTOWN RD",
            "address_2": "SUITE 2A",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190478310",
            "telephone_number": "215-750-0200",
            "fax_number": "215-750-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE ORAL AND FACIAL SURGERY ASSOCIATES P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "SOURI",
        "authorized_official_first_name": "SAMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-701-3581",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS038427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amish Sheth, DMD
• Raymond Shih
• Deborah Anne Shilling, RNFA
• Robert J Shimborski, DDS
• Jung S Shin, M.D.
• Val Shishkin
• Barbara H. Shonberg, MD
• Brendan Shovlin
• Michael David Shulman, MD
• Thomas Laurie Shultz, MD

• Oral and Maxillofacial Surgery (Dentist) in Langhorne, PA
• Providers in Langhorne, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.