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OASIS ORAL SURGERY LLC NPI 1023388196


NPI Information

NPI: 1023388196
Provider Name: OASIS ORAL SURGERY LLC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
9501 ROOSEVELT BLVD
SUITE 101
PHILADELPHIA, PA
ZIP 19114
Phone: (215) 904-8951
Get Directions

OASIS ORAL SURGERY LLC is an oral and maxillofacial surgery dentist in Philadelphia, PA. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. OASIS ORAL SURGERY LLC NPI is 1023388196. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9501 ROOSEVELT BLVD
SUITE 101
PHILADELPHIA, PA
ZIP 19114-025
Phone: (215) 904-8951

The provider's authorized official is Bryant Jones .
The authorized official title is Owner and has the following contact phone number (215) 904-8951.

The enumeration date for this NPI number is 1/6/2012 and was last updated on 1/19/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryDS038152PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1102496758MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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