South First Dental ,PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

20474 Issued in TX

Legal business name

SOUTH FIRST DENTAL ,PC

Practice address

3109 South First Street
Garland, TX 75041

Phone

(972) 926-5700

NPI assigned

Feb 7, 2007

Last updated

Mar 3, 2008By 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

Dr. Jackson Osakwe

Title

Owner

Phone

(972) 926-5700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1760522031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 SOUTH FIRST STREET",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75041",
            "telephone_number": "972-926-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 SOUTH FIRST STREET",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75041",
            "telephone_number": "972-926-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FIRST DENTAL ,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "OSAKWE",
        "authorized_official_first_name": "JACKSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-926-5700",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "20474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corinne Sorenson, DPT
• Jessica Sorto
• Oluwatoyin Omolara Sosanya
• Soumava Sen, DDS, P.C
• South Care Med Supplies
• South Garland Medical PLLC
• South Medical Supply and Equipment LLC
• South Texas Dental Associates, LP
• Southwest Family Dentistry & Orthodontics PLLC
• Spa Dental

• Oral and Maxillofacial Surgery (Dentist) in Garland, TX
• Providers in Garland, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.