Burlington Oral & Maxillofacial Surgeons P C

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

BURLINGTON ORAL & MAXILLOFACIAL SURGEONS P C

Practice address

1225 S Gear Ave
Mercy Plaza Ste 156
W Burlington, IA 52655-1691

Phone

(319) 752-2659

Fax

(319) 753-0856

NPI assigned

Dec 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Raymond F Roewe, D.D.S., M.S.

Title

President

Phone

(319) 752-2659

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689858110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 S GEAR AVE",
            "address_2": "MERCY PLAZA STE 156",
            "city": "W BURLINGTON",
            "state": "IA",
            "postal_code": "526551691",
            "telephone_number": "319-752-2659",
            "fax_number": "319-753-0856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 S GEAR AVE",
            "address_2": "MERCY PLAZA STE 156",
            "city": "W BURLINGTON",
            "state": "IA",
            "postal_code": "526551691",
            "telephone_number": "319-752-2659",
            "fax_number": "319-753-0856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLINGTON ORAL & MAXILLOFACIAL SURGEONS P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROEWE",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "319-752-2659",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Wilfrido Calderon, M.D.
• Care 1 Anesthesia Inc
• Ashley Coffey, LISW
• Kelley Michelle Dawley, NP-C
• Carolynn Dwight, PHARMD

• Oral and Maxillofacial Surgery (Dentist) in W Burlington, IA
• Providers in W Burlington, IA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.