Midwest Oral & Facial Surgery, P.C.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

8032 Issued in IA

Legal business name

MIDWEST ORAL & FACIAL SURGERY, P.C.

Practice address

1225 Jordan Creek Pkwy
Ste. 120
West Des Moines, IA 50266-2345

Phone

(515) 221-0807

Fax

(515) 221-0816

NPI assigned

Mar 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Peter David Lemon, D.M.D., M.D.

Title

President

Phone

(515) 221-0807

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1962534446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 JORDAN CREEK PKWY",
            "address_2": "STE. 120",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502662345",
            "telephone_number": "515-221-0807",
            "fax_number": "515-221-0816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 JORDAN CREEK PKWY",
            "address_2": "STE. 120",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502662345",
            "telephone_number": "515-221-0807",
            "fax_number": "515-221-0816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST ORAL & FACIAL SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-11",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "LEMON",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-221-0807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "IA",
            "license": "8032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Iowa

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