Oral Surgery Office LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

ORAL SURGERY OFFICE LLC

Practice address

2204 Scott St
Lafayette, IN 47904-2933

Phone

(765) 447-0525

Fax

(765) 447-5815

NPI assigned

Jun 2, 2005

Organization subpart

No

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

Authorized official

Name

Dr. David Brian Coates, D.D.S.

Title

Co-Owner

Phone

(765) 447-0525

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Stanley C. Jachimowicz, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Carmel, IN
  • NPI 1578568937
  NPD (past)

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

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1881696847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 SCOTT ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042933",
            "telephone_number": "765-447-0525",
            "fax_number": "765-447-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 SCOTT ST",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479042933",
            "telephone_number": "765-447-0525",
            "fax_number": "765-447-5815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL SURGERY OFFICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "COATES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "765-447-0525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100232750A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caeb Andrew Onken, DDS
• Kyle Marvin Onken
• Brittany Ooms, MA, BCBA, LBA
• Open Arms Counseling, Inc.
• Oral and Maxillofacial Surgery Center of Lafayette
• Eric Marcus Orenstein, M.D.
• Oriana Suh, LLC
• Delmar Oropeza
• Alixandra E. Orr
• Orthopaedics-Indianapolis, Inc

• Oral and Maxillofacial Surgery (Dentist) in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.