Organization Active NPI

Princeton Oral and Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Princeton, NJ
National Provider Identifier
1932304615
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
PRINCETON ORAL AND MAXILLOFACIAL SURGERY
Practice address
166 Bunn Dr
Suite 103
Princeton, NJ 08540-2800
Phone
(609) 924-1621
Fax
(609) 924-6291
NPI assigned
Jun 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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

Authorized official

Name
Dr. Samuel S. Levine, D.D.S.
Title
President
Phone
(609) 924-1621

Specialties & licenses 1

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

Addresses

Primary practice location

166 Bunn Dr
Suite 103
Princeton, NJ 08540-2800

Mailing address

166 Bunn Dr
Suite 103
Princeton, NJ 08540-2800
Phone (609) 924-1621

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1932304615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 BUNN DR",
            "address_2": "SUITE 103",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402800",
            "telephone_number": "609-924-1621",
            "fax_number": "609-924-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 BUNN DR",
            "address_2": "SUITE 103",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085402800",
            "telephone_number": "609-924-1621",
            "fax_number": "609-924-6291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCETON ORAL AND MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-924-1621",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.