Organization Active NPI

Easton Oral and Maxillofacial Surgery Center

  • Oral and Maxillofacial Surgery (Dentist)
  • Easton, PA
National Provider Identifier
1922064773
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
EASTON ORAL AND MAXILLOFACIAL SURGERY CENTER
Practice address
3360 Nazareth Rd
Easton, PA 18045-2018
Phone
(610) 253-3593
Fax
(610) 559-9466
NPI assigned
Apr 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Steven Michael Gould, DMD
Title
President
Phone
(610) 253-3593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

3360 Nazareth Rd
Easton, PA 18045-2018

Mailing address

3360 Nazareth Rd
Easton, PA 18045-2018
Phone (610) 253-3593

National Provider Directory

National Provider Directory

Locations

3360 Nazareth Rd
Easton, PA 18045
Phone (610) 253-3593

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922064773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3360 NAZARETH RD",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452018",
            "telephone_number": "610-253-3593",
            "fax_number": "610-559-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 NAZARETH RD",
            "city": "EASTON",
            "state": "PA",
            "postal_code": "180452018",
            "telephone_number": "610-253-3593",
            "fax_number": "610-559-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTON ORAL AND MAXILLOFACIAL SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOULD",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-253-3593",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.