Sierra Oral & Maxillofacial Surgery, Inc

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

33993 Issued in CA

Legal business name

SIERRA ORAL & MAXILLOFACIAL SURGERY, INC

Practice address

1364 Whispering Pines LN
Suite a
Grass Valley, CA 95945-5975

Phone

(530) 272-3111

Fax

(530) 272-4111

NPI assigned

Dec 26, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Timothy C Snyder, DDS, MD

Title

Owner

Phone

(530) 272-3111

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1324857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324857600000",
    "number": "1992074611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1364 WHISPERING PINES LN",
            "address_2": "SUITE A",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455975",
            "telephone_number": "530-272-3111",
            "fax_number": "530-272-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1364 WHISPERING PINES LN",
            "address_2": "SUITE A",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455975",
            "telephone_number": "530-272-3111",
            "fax_number": "530-272-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA ORAL & MAXILLOFACIAL SURGERY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-26",
        "last_updated": "2011-12-26",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-272-3111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "33993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sierra Nevada Primary Care
• Sierra Nevada Primary Care
• Sierra Nevada Primary Care
• Sierra Nevada Primary Care Physicians a Medical Corporation
• Sierra Nevada Urology Medical Associates, Inc.
• Sierra Outpatient Anesthesia Inc
• Sierra Physical Therapy & Rehab Inc
• Sierra Physicians Inc.
• Sierra Radiation Oncology a Medical Corporation
• Sierra Sleep Diagnostics Inc.

• Oral and Maxillofacial Surgery (Dentist) in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2011; 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.