Oral Surgery Center, P.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

6026 Issued in NE

Legal business name

ORAL SURGERY CENTER, P.C.

Practice address

2304 Taylor Ave
Norfolk, NE 68701-4537

Phone

(402) 644-4452

Fax

(402) 644-4454

NPI assigned

Nov 8, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jon D. Stineman, D.D.S., M.D.

Title

Owner/President

Phone

(402) 644-4452

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1891096814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 TAYLOR AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014537",
            "telephone_number": "402-644-4452",
            "fax_number": "402-644-4454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 TAYLOR AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014537",
            "telephone_number": "402-644-4452",
            "fax_number": "402-644-4454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL SURGERY CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "STINEMAN",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "402-644-4452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NE",
            "license": "6026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025867400",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Louise Oltmer, MSE LIMHP LADC
• Alekxa Olvera
• Omaha Vamc
• Autumn One Horn
• Oral Surgery Center PC
• Kaydee Orlowski
• Christina Ornelas
• Alaina Ortgies
• Ortho Medics Norfolk, LLC
• Adalis T Ortiz-Vega, PLADC

• Oral and Maxillofacial Surgery (Dentist) in Norfolk, NE
• Providers in Norfolk, NE by specialty
• Oral and Maxillofacial Surgery (Dentist) in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.