OASIS ORAL SURGERY LLC (NPI# 1023388196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023388196 |
| Entity Type | Organization |
| Organization Name | OASIS ORAL SURGERY LLC |
| Practice Address |
9501 Roosevelt Blvd Suite 101 Philadelphia PA 19114-1025 |
| Practice Telephone | 2159048951 |
| Mailing Telephone | 2159048951 |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2016-01-19 |
| Authorized Official Name | BRYANT JONES (OWNER) |
| Authorized Official Telephone | 2159048951 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DS038152 | PA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 102496758 | 05 |
| Street Address |
9501 ROOSEVELT BLVD SUITE 101 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19114-1025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962405936 | Anthony Brandimarto | Internal Medicine | 9501 Roosevelt Blvd, Ste 501, Philadelphia, PA 19114-1030 | 2005-05-24 |
| 1508403569 | Galyna Vorokhib | Nurse Practitioner | 9501 Roosevelt Blvd, Philadelphia, PA 19114-1025 | 2019-12-09 |
| 1003301920 | Johanna Marie Farinella | Nurse Practitioner | 9501 Roosevelt Blvd, Philadelphia, PA 19114-1025 | 2018-06-22 |
| 1487190096 | Allen Shapiro | Dentist | 9501 Roosevelt Blvd, Ste 409, Philadelphia, PA 19114-1025 | 2017-01-07 |
| 1124560081 | Aria Health Physician Services | Internal Medicine | 9501 Roosevelt Blvd, Suite 400, Philadelphia, PA 19114-1025 | 2016-11-09 |
| 1285187260 | Marianna Diloyan | Registered Nurse | 9501 Roosevelt Blvd, Suite 206, Philadelphia, PA 19114-1025 | 2016-07-26 |
| 1487009312 | Dr. Allen P. Shapiro Dds.ltd | Clinic/Center | 9501 Roosevelt Blvd, Suite 409, Philadelphia, PA 19114-1025 | 2016-04-28 |
| 1568880334 | Barry B Abraham Md LLC | Dermatology | 9501 Roosevelt Blvd, Suite 506, Philadelphia, PA 19114-1030 | 2014-03-31 |
| 1891928214 | Brian Shapiro | Dentist | 9501 Roosevelt Blvd, Suite 409, Philadelphia, PA 19114-1025 | 2009-09-02 |
| 1558518027 | Lyudmila Emily Slutsky | Licensed Practical Nurse | 9501 Roosevelt Blvd, Suite 501, Philadelphia, PA 19114-1025 | 2008-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029906 | Phuoc Nguyen | Nurse Anesthetist, Certified Registered | Jefferson Torresdale Hospital, 10800 Knights Rd, Philadelphia, PA 19114 | 2020-10-05 |
| 1053921932 | Priyanka Patel | Dentist | Philadelphia Dental Smiles, 9140 Academy Road, Philadelphia, PA 19114 | 2020-08-05 |
| 1215419080 | Thomas Patrick Gallagher | Specialist/Technologist | 2708 Ruth Way, Philadelphia, PA 19114 | 2018-08-29 |
| 1558840223 | Alexis Wenger | Early Intervention Provider Agency | 3810 Aubrey Ave, Phila, PA 19114 | 2018-08-13 |
| 1245759232 | Newlands Health | Clinic/Center | 9625 Frankford Ave., Philadelphia, PA 19114 | 2017-09-12 |
| 1619491453 | Nazareth Physician Services Inc | Social Worker | 9815 Roosevelt Blvd Ste G, Philadelphia, PA 19114 | 2017-08-02 |
| 1326561606 | L.s. Share & Love Support Coordinating Agency, LLC | Case Management | 3600 Red Lion Road, Apt 68c, Philadelphia, PA 19114 | 2017-07-19 |
| 1760911952 | Charles C Richards II | Counselor | 2555 Welsh Rd, Apt 407, Philadelphia, PA 19114 | 2017-06-09 |
| 1801338686 | April Neuls | Physical Therapy Assistant | 4213 Lackland Place, Philadelphia, PA 19114 | 2016-11-10 |
| 1114317583 | Siji Cyriac | Physical Therapist | 9501 State Road, Philadelphia, PA 19114 | 2015-01-23 |
| Find all providers in zip 19114 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528626124 | Christopher Yi | Dentist | 900 Walnut St Rm 300, Philadelphia, PA 19107-5191 | 2019-05-30 |
| 1962942771 | American Management Group | Dentist | 3900 City Avenue Apt W1101, Philadelphia, PA 19131 | 2017-02-27 |
| 1457771545 | Diana Lin | Dentist | 2630 Holme Ave Ste 103, Philadelphia, PA 19152-3004 | 2014-04-16 |
| 1245554385 | Bryant Jones | Dentist | 8957 Roosevelt Blvd, Philadelphia, PA 19152-1312 | 2010-03-18 |
| 1962601773 | Daniel J Bowser | Dentist | 2327 Cottman Ave, Philadelphia, PA 19149-1008 | 2007-07-12 |
| 1396969036 | Franklyn Scott, D.d.s., P.C. | Dentist | 900 East Wadsworth Avenue, Philadelphia, PA 19150 | 2007-04-12 |
| 1073641148 | Delaware Valley Maxillofacial & Oral Surgery LLC | Dentist | 2301 E Allegheny Ave Ste 206, Philadelphia, PA 19134-4427 | 2007-03-01 |
| 1598805608 | Franklyn Scott | Dentist | 900 E Wadsworth Ave, Philadelphia, PA 19150-3417 | 2007-02-07 |
| 1881796985 | Ramin Bahram | Dentist | 2546 S Broad St, Philadelphia, PA 19145-4638 | 2006-09-01 |
| 1255381513 | Michael T Dachowski | Dentist | 2630 Holme Avenue, Suite 103, Philadelphia, PA 19152-1912 | 2006-05-10 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19114 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.