University Oral & Maxillofacial Surgery LTD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

1655 Issued in RI

Legal business name

UNIVERSITY ORAL & MAXILLOFACIAL SURGERY LTD

Practice address

1370 S County TRL
East Greenwich, RI 02818-1625

Phone

(401) 885-8575

Fax

(401) 885-8577

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Francis A Connor Jr., DDS

Title

President

Phone

(401) 885-8575

Specialties & licenses 3

Addresses

Other identifiers 4

Other names 1

• Oral Surgery Assoicates Ltd Former legal business name

Locations

Practitioners 5

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

• Robert Joseph Block, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • East Greenwich, RI
  • NPI 1134436413
  NPD (past)
• Emery Leigh Nicholas, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • East Greenwich, RI
  • NPI 1487995445
  NPD (past)
• Brian Louis Ruggiero, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Providence, RI
  • NPI 1407377898
  NPD (past)
• Pooyan Sadr Eshkevari, MD, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • East Greenwich, RI
  • NPI 1497130256
  NPD (past)
• David Lee, DMD OMS

  • Dentist
  • Seekonk, MA
  • NPI 1972666865
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1700817384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 S COUNTY TRL",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181625",
            "telephone_number": "401-885-8575",
            "fax_number": "401-885-8577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 S COUNTY TRL",
            "city": "EAST GREENWICH",
            "state": "RI",
            "postal_code": "028181625",
            "telephone_number": "401-885-8575",
            "fax_number": "401-885-8577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY ORAL & MAXILLOFACIAL SURGERY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "CONNOR",
        "authorized_official_first_name": "FRANCIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-885-8575",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "RI",
            "license": "1471",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "RI",
            "license": "1655",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "RI",
            "license": "2411",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "UO19657",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PAWTUCKET",
            "identifier": "RG0143",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-COVENTRY",
            "identifier": "X11456",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-EG",
            "identifier": "RG0144",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oral Surgery Assoicates Ltd",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lynn Turchetta Colford
• Lisa W Tyler, D.M.D.
• University Family Medicine
• University Family Medicine Inc
• University Foot & Ankle Center Inc
• University Orthopedics, Inc.
• University Orthopedics, Inc.
• University Pulmonary Associates
• University Urological Associates, Inc
• Randall Lee Updegrove, M.D.

• Oral and Maxillofacial Surgery (Dentist) in East Greenwich, RI
• Providers in East Greenwich, RI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.