Center for Facial Oral & Implant Surgery PA

Primary specialty

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

Legal business name

CENTER FOR FACIAL ORAL & IMPLANT SURGERY PA

Practice address

705 E Marshall Ave
4003
Longview, TX 75601-5573

Phone

(903) 315-3810

Fax

(903) 315-1937

NPI assigned

Dec 2, 2010

Organization subpart

No

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

Authorized official

Name

Gregory P Hatzis, DDS, MDNPI 1639274590

Title

Owner

Phone

(903) 315-3813

Specialties & licenses 1

Addresses

Practitioners 1

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

• Gregory P Hatzis, M.D., D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Newark, NJ
  • NPI 1639274590

  Oral & Maxillofacial Surgery

  NPD (past) Authorized official

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1700188372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E MARSHALL AVE",
            "address_2": "4003",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "75601",
            "telephone_number": "903-315-3810",
            "fax_number": "903-315-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E MARSHALL AVE",
            "address_2": "4003",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015573",
            "telephone_number": "903-315-3810",
            "fax_number": "903-315-1937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR FACIAL ORAL & IMPLANT SURGERY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "HATZIS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-315-3813",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody Castle, FNP
• Joshua Castle, FNP-C
• Morgan Caughlin, DO
• Alma Rosalia Ceballos
• Centauri Healthcare Group L.L.C.
• Christopher Cerio, RPH
• Matthew Daewon Cha
• Tejo Ramam Challa, MD
• Jimmy Alphonse Chamberlain
• Rachel Diana Chamberlain

• Oral & Maxillofacial Surgery (D.M.D.) in Longview, TX
• Providers in Longview, TX by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; 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.