Organization Active NPI

South Wake Oral Surgery & Dental Implants

  • Oral and Maxillofacial Surgery (Dentist)
  • Fuquay Varina, NC
National Provider Identifier
1982874012
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
8240 Issued in NC
Legal business name
SOUTH WAKE ORAL SURGERY & DENTAL IMPLANTS
Practice address
6009 Dwight Rowland Rd
Fuquay Varina, NC 27526-7204
Phone
(919) 567-3293
NPI assigned
Mar 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Dr. Daniel J. MaharNPI 1033129408
Title
Oral Surgeon
Phone
(919) 567-3293

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 8240 NC Primary

Addresses

Primary practice location

6009 Dwight Rowland Rd
Fuquay Varina, NC 27526-7204

Mailing address

508 Chrismill LN
Holly Springs, NC 27540-8290

Other identifiers 1

IdentifierTypeStateIssuer
5905811MedicaidNC

National Provider Directory

National Provider Directory

Locations

6009 Dwight Rowland Rd
Fuquay Varina, NC 27526
Phone (919) 552-2431

Practitioners & affiliated clinicians

Practitioners 1

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": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1982874012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 CHRISMILL LN",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275408290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6009 DWIGHT ROWLAND RD",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275267204",
            "telephone_number": "919-567-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH WAKE ORAL SURGERY & DENTAL IMPLANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "MAHAR",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "919-567-3293",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "8240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5905811",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.