Gainesville Oral and Implant Surgery, PA

Primary specialty

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

Legal business name

GAINESVILLE ORAL AND IMPLANT SURGERY, PA

Practice address

6801 NW 9TH Blvd Ste 1
Gainesville, FL 32605-4263

Phone

(352) 331-2016

Fax

(352) 331-1676

NPI assigned

Jan 25, 2021

Last updated

Feb 18, 2021By 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. Christopher Hambrook, DDS

Title

Oral and Maxillofacial Surgeon

Phone

(352) 331-2016

Specialties & licenses 2

Addresses

Electronic endpoints 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eric H. Reed, DDS, MD

  • Specialist
  • Naples, FL
  • NPI 1346469079
  NPD (past)
• Daniel S Read, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Knoxville, TN
  • NPI 1043259906
  NPD (past)

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

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1841880739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 NW 9TH BLVD STE 1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054263",
            "telephone_number": "352-331-2016",
            "fax_number": "352-331-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 NW 9TH BLVD STE 1",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326054263",
            "telephone_number": "352-331-2016",
            "fax_number": "352-331-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAINESVILLE ORAL AND IMPLANT SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "HAMBROOK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "ORAL AND MAXILLOFACIAL SURGEON",
        "authorized_official_telephone_number": "352-331-2016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@slottoralsurgery.com",
            "affiliation": "N",
            "address_1": "6801 NW 9th Blvd Ste 1",
            "city": "Gainesville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "326054263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Oral & Maxillofacial Surgery (D.M.D.) in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.