Oral Surgery Assoc.,LTD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

15594L Issued in PA

Legal business name

ORAL SURGERY ASSOC.,LTD

Practice address

223 W Lancaster Ave
Devon, PA 19333-1583

Phone

(610) 688-6682

Fax

(610) 971-0481

NPI assigned

Apr 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Everett P. Borghesani, DDS

Title

President

Phone

(610) 688-6682

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

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

• Godfrey Joel Funari, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Bryn Mawr, PA
  • NPI 1720009863
  NPD (past)

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982669743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 W LANCASTER AVE",
            "city": "DEVON",
            "state": "PA",
            "postal_code": "193331583",
            "telephone_number": "610-688-6682",
            "fax_number": "610-971-0481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 W LANCASTER AVE",
            "city": "DEVON",
            "state": "PA",
            "postal_code": "193331583",
            "telephone_number": "610-688-6682",
            "fax_number": "610-971-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL SURGERY ASSOC.,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BORGHESANI",
        "authorized_official_first_name": "EVERETT",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-688-6682",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "15594L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "0026814000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUES OTHER",
            "identifier": "405476",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4451977",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zehcca Nuahn
• Michelle Oliver, DPM
• Julieann Olone, RN
• Kelly Ann Omilak, OT
• Andrew Oostdyk, MSW
• Nicholas Joseph Orlando
• Tal Oxenberg, LCSW
• Wonhee Park, CRNP
• Susan Lynn Parson, RN
• Neha Patel, DPT, CSCS

• Oral and Maxillofacial Surgery (Dentist) in Devon, PA
• Providers in Devon, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• 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.