SAN DIEGO CENTER FOR ORAL AND MAXILLOFACIAL SURGERY


Address: 8008 Frost St, Suite 311, San Diego, CA 92123-4205
Phone: 8582925175

SAN DIEGO CENTER FOR ORAL AND MAXILLOFACIAL SURGERY (NPI# 1376803254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376803254
Entity Type Organization
Organization Name SAN DIEGO CENTER FOR ORAL AND MAXILLOFACIAL SURGERY
Practice Address 8008 Frost St
Suite 311
San Diego
CA 92123-4205
Practice Telephone 8582925175
Practice Fax Number 8582929946
Mailing Telephone 8582925175
Mailing Fax Number 8582929946
Enumeration Date 2012-05-24
Last Update Date 2012-05-24
Authorized Official Name MS. LYNN JANE O'KEEFE (ADMINISTRATOR)
Authorized Official Telephone 8582925175
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
Dental Providers

Office Location

Street Address 8008 FROST ST
SUITE 311
City SAN DIEGO
State CA
Zip Code 92123-4205

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659378990 Julie Renee Ohayon Surgery 8008 Frost St, Ste 403, San Diego, CA 92123-4205 2005-07-01
1528444171 Lindsey Urband Md Corp Orthopaedic Surgery 8008 Frost St, Suite 403, San Diego, CA 92123-4205 2015-08-05
1710238811 Ann Billones Physician Assistant 8008 Frost St, Suite 106, San Diego, CA 92123-4205 2012-09-28
1508169335 Christine Michelle Szafranic Physician Assistant 8008 Frost St, Suite 106, San Diego, CA 92123-4205 2010-12-16
1316247281 Sharp Rees-stealy Medical Group Inc Orthopaedic Surgery 8008 Frost St, Suite 106, San Diego, CA 92123 2010-10-26
1740422997 Lindsey Starr Urband Orthopaedic Surgery 8008 Frost St, Suite 403, San Diego, CA 92123-4205 2009-04-02
1063658375 M. Hertzel Soumekh M D A Professional Corporation Neurological Surgery 8008 Frost St, Suite 401, San Diego, CA 92123-4205 2008-12-17
1023273307 Jesus H. Mendoza Orthotist 8008 Frost St, Suite 407, San Diego, CA 92123-4205 2008-07-25
1407036502 Tarkan Sidal Dentist 8008 Frost St, Suite 311, San Diego, CA 92123-4205 2007-11-07
1306042668 San Diego Institute for Prevention and Wellness Obstetrics & Gynecology 8008 Frost St, Suite 406, San Diego, CA 92123-4205 2007-06-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669087326 Corina Lozano Manzo Registered Nurse 7436 Mission Center Road, San Diego, CA 92123 2020-09-10
1831703537 Shannon Leigh Doolittle Audiologist 3020 Children's Way Mc5010, San Diego, CA 92123 2020-09-01
1861014359 Ha Thanh Truong Pharmacist Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 2020-05-07
1023667136 Brittany Meyer Physical Therapist 3020 Children's Waymc5068, San Diego, CA 92123 2019-09-11
1598313272 Ryan Edward Shaw Marriage & Family Therapist 8910 Clairmont Mesa Blvd, San Diego, CA 92123 2019-08-27
1528611910 Tanisha C Fulcher Marriage & Family Therapist 8825 Aero Dr., Ste 315, San Diago, CA 92123 2019-07-24
1245795665 Robin James Pekin Marriage & Family Therapist 4450 Kearny Villa Rd, #116, San Diego, CA 92123 2019-02-11
1174093728 Karen Vences Counselor 8755 Aero Dr Suite 230, San Diego, CA 92123 2018-11-27
1255808465 Natasha Herrera Counselor 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 2018-10-25
1407321987 Maneka Elikewela Behavior Technician 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 2018-10-10
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Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659753762 T Sidal Dds Md Inc Dentist 12395 El Camino Real, Suite 304, Torrey Pines Oral & Maxillofacial Surgery, San Diego, CA 92130 2015-06-25
1346506201 Jonathan Joseph Shelton Dentist 6386 Alvarado Ct Ste 110, San Diego, CA 92120 2012-04-04
1326350851 Payam Afzali Dentist 11962 Stoney Peak Dr Apt 1222, San Diego, CA 92128-6483 2010-07-13
1487965828 Mehdi B Matin Dentist 4910 Directors Pl Ste 300, San Diego, CA 92121-3816 2010-06-30
1801125794 Robert Henry Miner Dentist 12686 Picrus St, San Diego, CA 92129-4121 2009-12-24
1629205174 Marc Dentico-olin Dentist 501 Washington St Ste 710, San Diego, CA 92103-2231 2009-06-11
1225272339 Ruben Dario Ramirez Dentist 8008 Frost Street, Suite 311, San Diego, CA 92123 2009-04-21
1932352796 Daniel S Witcher Dentist 4747 Orten St, San Diego, CA 92110-1322 2008-10-24
1669592853 Raymichael Smith Dentist 16466 Bernardo Center Dr Ste 177, San Diego, CA 92128-2522 2007-03-30
1104962190 Arshiya Sharafi Dentist 4910 Directors Pl, 301, San Diego, CA 92121-3811 2007-01-29
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Competitor

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City SAN DIEGO
Zip Code 92123

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Dataset Information

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.

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