Suncoast Oral Surgery, LLC.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

SUNCOAST ORAL SURGERY, LLC.

Practice address

4809 Trouble Creek Rd
New Port Richey, FL 34652-4828

Phone

(727) 560-5393

NPI assigned

Dec 29, 2016

Last updated

Jul 20, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pamela Rowan

Title

Secretary

Phone

(727) 560-5393

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500508800000",
    "number": "1740725753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 TROUBLE CREEK RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524828",
            "telephone_number": "727-560-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 TROUBLE CREEK RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524828",
            "telephone_number": "727-560-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST ORAL SURGERY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2017-07-20",
        "status": "A",
        "authorized_official_last_name": "ROWAN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "727-560-5393"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summit Anesthesiology Inc
• Sun Dental Inc. (Premier Dental Associates)
• Sun State Nutrition
• Suncoast Anesthesia Group, LLC
• Suncoast Heart Clinic P a
• Suncoast Pain Relief Clinic, LLC
• Suncoast Specialty Surgery Center, LLLP
• Suncoast Womens Care PA
• Koravangala K Sundaresh, M.D.
• Sunny Day Home Health Inc

• Oral and Maxillofacial Surgery (Dentist) in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.