ORAL SURGERY CENTER PC (NPI# 1053598854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053598854 |
| Entity Type | Organization |
| Organization Name | ORAL SURGERY CENTER PC |
| Practice Address |
2501 Lakeridge Dr Norfolk NE 68701 |
| Practice Telephone | 4026444452 |
| Practice Fax Number | 4026444454 |
| Mailing Telephone | 4026444452 |
| Mailing Fax Number | 4026444454 |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | DR. GARY ALAN FLOWER (PRESIDENT ORAL SURGEON) |
| Authorized Official Telephone | 4026444452 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| Street Address |
2501 LAKERIDGE DR |
| City | NORFOLK |
| State | NE |
| Zip Code | 68701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982681318 | Richard W Meyer | Optometrist | 2501 Lakeridge Dr, Norfolk, NE 68701-2558 | 2005-12-28 |
| 1780039354 | Nebraska Pain Management Physicians PC | Anesthesiology | 2501 Lakeridge Dr, Suite 100, Norfolk, NE 68701-2558 | 2016-05-02 |
| 1760895841 | Jenna L Hatfield | Dentist | 2501 Lakeridge Dr, St 102, Norfolk, NE 68701-2558 | 2014-06-06 |
| 1619387503 | Jenna L. Hatfield Dds PC | Dentist | 2501 Lakeridge Dr, Suite 102, Norfolk, NE 68701-2558 | 2014-05-01 |
| 1295168540 | Andrea Jo Kropf | Counselor | 2501 Lakeridge Dr, Suite 104c, Norfolk, NE 68701-2558 | 2013-08-09 |
| 1932466539 | Sumner Counseling Services, LLC | Counselor | 2501 Lakeridge Dr, Ste. 104c, Norfolk, NE 68701-2558 | 2012-04-19 |
| 1407165798 | Ronald Dean Vick Jr. | Counselor | 2501 Lakeridge Dr, Ste. 104c, Norfolk, NE 68701-2558 | 2010-10-04 |
| 1528135118 | Eye Physicians, P.C. | Optometrist | 2501 Lakeridge Dr, Norfolk, NE 68701-2558 | 2006-11-29 |
| 1538250014 | Bradley J Krivohlavek | Dentist | 2501 Lakeridge Dr, Suite 102, Norfolk, NE 68701-2558 | 2006-09-27 |
| 1073590352 | William C Meyer | Optometrist | 2501 Lakeridge Dr, Norfolk, NE 68701-2558 | 2005-12-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700408465 | Women's Empowering Life Line, Inc. | Substance Abuse Rehabilitation Facility | 200 South 13th St, Norfolk, NE 68701 | 2020-05-15 |
| 1093297103 | Nicole Marie Owens | Physician Assistant | 2701 W. Norfolk Ave, Norfolk, NE 68701 | 2018-09-05 |
| 1326535410 | Healing Hands of Nebraska, PC | Otolaryngology | Sunset Plaza, 1700 Market Lane, Suite 410, Norfolk, NE 68701 | 2018-04-16 |
| 1356864995 | Nmg LLC | Family Medicine | 301 North 27th Street Suite 1, Norfolk, NE 68701 | 2017-07-25 |
| 1609396423 | Alison Erin Pfeifer | Physical Therapy Assistant | 1220 W Benjamin Ave #4, Norfolk, NE 68701 | 2017-06-22 |
| 1568996148 | Xanat Naranjo | Registered Nurse | 105 E. Norfolk Ave, Norfolk, NE 68701 | 2017-04-20 |
| 1194259945 | Angela Cornett | Licensed Practical Nurse | 105 E. Norfolk, Norfolk, NE 68701 | 2017-04-19 |
| 1669906400 | Melodie Ann Nielsen | Registered Nurse | 105 East Norfolk Ave, Norfolk, NE 68701 | 2017-04-19 |
| 1528519543 | Women's Empowering Life Line | Substance Abuse Rehabilitation Facility | 910 West Park Avenue, Norfolk, NE 68701 | 2016-10-14 |
| 1174983100 | Brooke Cemper | Nurse Practitioner | 2701 West Norfolk Ave, Norfolk, NE 68701 | 2016-03-03 |
| Find all providers in zip 68701 | ||||
| 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 |
|---|---|---|---|---|
| 1437210374 | Gary Alan Flower | Dentist | 2501 Lakeridge Drive, Suite 100, Norfolk, NE 68701-2558 | 2006-12-13 |
| 1003893009 | Daniel James Convey | Dentist | 2304 Taylor Ave, Norfolk, NE 68701-4537 | 2005-12-30 |
| 1558358960 | Mark Anthony Larusso | Dentist | 1647 Taussig Boulevard, Naval Dental Clinic Norfolk, Norfolk, VA 23511-2896 | 2005-09-30 |
| 1821368747 | James E. Krochmal Dds, P. C. | Dentist | 400 W Brambleton Ave, Suite 310, Norfolk, VA 23510-1115 | 2012-01-09 |
| 1891096814 | Oral Surgery Center, P.C. | Dentist | 2304 Taylor Ave, Norfolk, NE 68701-4537 | 2010-11-08 |
| 1083863633 | Sandra M. Halterman | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511 | 2008-09-18 |
| 1386837748 | Robert L Smith | Dentist | 302 W Phillip Ave, Norfolk, NE 68701-5248 | 2007-08-20 |
| 1346343753 | Gregory S Sears | Dentist | 109 N 29th St, Norfolk, NE 68701-3261 | 2006-09-07 |
| 1114958410 | Michael M Carson Sr. | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2006-07-05 |
| 1639142441 | James Henry Gherardini Jr. | Dentist | 1647 Taussig Blvd, Norfolk, VA 23511 | 2006-02-10 |
| Find all providers in NORFOLK | ||||
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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.