ORAL SURGERY OFFICE, INC. (NPI# 1306034285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306034285 |
| Entity Type | Organization |
| Organization Name | ORAL SURGERY OFFICE, INC. |
| Other Organization Name | DR. REGINAL GOWANS |
| Practice Address |
730 Sunrise Ave Suite 130 Roseville CA 95661-4567 |
| Practice Telephone | 9167822161 |
| Practice Fax Number | 9167820677 |
| Mailing Telephone | 9167822161 |
| Mailing Fax Number | 9167820677 |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2008-08-27 |
| Authorized Official Name | MRS. TIFFANY SETTLE (PRACTICE MANAGER) |
| Authorized Official Telephone | 9164875152 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
91830 | CA | Dental Providers |
| Other Name | Type Code |
|---|---|
| Dr. Reginal gowans | Other Name - Individual/Organization |
| Street Address |
730 SUNRISE AVE SUITE 130 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-4567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740357706 | James Robert Dow | Dentist | 730 Sunrise Ave, Suite 110, Roseville, CA 95661-4549 | 2006-11-28 |
| 1487280111 | Jennifer Shelby | Counselor | 730 Sunrise Ave, Roseville, CA 95661-4567 | 2020-03-13 |
| 1437797818 | Teresa L Donato | Counselor | 730 Sunrise Ave, Roseville, CA 95661-4567 | 2019-12-16 |
| 1366086977 | Martha W Linn | Licensed Vocational Nurse | 730 Sunrise Ave, Roseville, CA 95661-4567 | 2019-11-06 |
| 1861046690 | Jordan Blackwell | Behavior Technician | 730 Sunrise Ave, Roseville, CA 95661-4567 | 2019-07-30 |
| 1942860788 | Katherine Jane Hughes | Counselor | 730 Sunrise Ave, Roseville, CA 95661-4567 | 2019-06-14 |
| 1417514092 | Ann Mushlitz Hawken | Counselor | 730 Sunrise Ave, Roseville, CA 95661-4567 | 2019-05-20 |
| 1073176335 | Daniel Michael Martinez | Counselor | 730 Sunrise Ave, Roseville, CA 95661-4567 | 2019-04-22 |
| 1306306733 | Gary Tyrone Hill | Counselor | 730 Sunrise Ave, Roseville, CA 95661-4567 | 2019-03-21 |
| 1285112565 | Michael James Stubblefield | Counselor | 730 Sunrise Ave, Roseville, CA 95661-4567 | 2018-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| 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 |
|---|---|---|---|---|
| 1114533064 | Alexander V. Antipov, D.d.s., Inc. | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678 | 2020-09-16 |
| 1861796393 | Parshan Namiranian | Dentist | 9225 Sierra College Blvd, Roseville, CA 95661-5919 | 2010-12-24 |
| 1093044927 | Sierra Foothills Oral & Maxillofacial Surgery Group | Dentist | 2350 Professional Drive, Suite 400, Roseville, CA 95661-7747 | 2009-12-24 |
| 1750553889 | Alexander Antipov | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678-1383 | 2008-03-28 |
| 1063609030 | Alexander Rabinovich | Dentist | 9655 Pinehurst Dr, Roseville, CA 95747-6336 | 2007-10-03 |
| 1992739379 | Henry Gasson Bryan | Dentist | 20805 E 12 Mile Rd, Suite 110, Roseville, MI 48066-6502 | 2006-07-10 |
| 1255337564 | Lawrence H Kent | Dentist | 1912 Lexington Ave N, Roseville, MN 55113-6113 | 2005-06-22 |
| 1447641295 | Christopher Michael Rivers | Dentist | 1835 County Road C W Ste 200, Roseville, MN 55113-1353 | 2015-02-16 |
| 1871982520 | Solutions To Smile About Inc | Dentist | 730 Sunrise Ave, Suite 138, Roseville, CA 95661-4567 | 2015-01-19 |
| 1407279177 | Galleria Oral and Maxillofacial Surgery | Dentist | 911 Reserve Drive, Suite #150, Roseville, CA 95678 | 2014-01-30 |
| Find all providers in ROSEVILLE | ||||
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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.