Precision Oral Surgery LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

22DI024266 Issued in NJ

Legal business name

PRECISION ORAL SURGERY LLC

Practice address

1765 Springdale Rd
Suite C-1
Cherry Hill, NJ 08003-2177

Phone

(856) 206-9255

Fax

(856) 206-9254

NPI assigned

Feb 6, 2014

Organization subpart

No

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

Authorized official

Name

Spencer Saint-Cyr, DMD

Title

Owner

Phone

(856) 206-9255

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1730503111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 E MAIN ST",
            "address_2": "SUITE B",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573382",
            "telephone_number": "856-206-9255",
            "fax_number": "856-206-9254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 SPRINGDALE RD",
            "address_2": "SUITE C-1",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032177",
            "telephone_number": "856-206-9255",
            "fax_number": "856-206-9254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION ORAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "SAINT-CYR",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-206-9255",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NJ",
            "license": "22DI024266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Powell
• Stanley Powell
• Naomi V Poyser, PT
• Akshay B Prajapati, PT, DPT
• Ethan Thomas Pravetz, PT, DPT, CCI
• Precision Periodontics, LLC
• Pregnancy Care Center, Inc (Options for Women)
• Keith V Preis, M.D.
• Premier Cadbury LLC
• Premier Cadbury, LLC

• Oral and Maxillofacial Surgery (Dentist) in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.