PERIODONTICS, ORAL AND FACIAL SURGICAL SPECIALTIES - NPI 1386234284

Q: What is Periodontics, Oral And Facial Surgical Specialties's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

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About Periodontics, Oral And Facial Surgical Specialties NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERIODONTICS, ORAL AND FACIAL SURGICAL SPECIALTIES (NPI 1386234284), doing business as Orange County Oral Surgery And Periodontics, is a healthcare organization registered as an oral and maxillofacial surgery in Rancho Santa Margarita, California and active in the NPI registry since January 2021. The organization lists Reza Bolourian, Owner, as its authorized official.

NPPES Registry Identity

NPI1386234284

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NamePERIODONTICS, ORAL AND FACIAL SURGICAL SPECIALTIES

Location Address29829 SANTA MARGARITA PKWY STE 300Rancho Santa Margarita, CA 92688-3623

Mailing Address29829 Santa Margarita Pkwy Ste 300Rancho Santa Margarita, CA 92688-3623 · (949) 888-0332 · Fax (949) 888-0400

Phone(949) 888-0332

Fax(949) 888-0400

Organization SubpartNo

Authorized OfficialReza BolourianOwner · (949) 888-0332

Enumeration DateJanuary 25, 2021

NPPES CertifiedJanuary 25, 2021

✔ NPI 1386234284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Definition

An oral and maxillofacial surgery dentist specialized in 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.

Also ListedDentist · PeriodonticsTaxonomy 1223P0300X

Also ListedClinic/Center · DentalTaxonomy 261QD0000X

Also ListedClinic/Center · Oral and Maxillofacial SurgeryTaxonomy 261QS0112X

29829 SANTA MARGARITA PKWY STE 300, Rancho Santa Margarita, CA 92688

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Other Names 1

Doing Business AsOrange County Oral Surgery And Periodontics

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Periodontics, Oral And Facial Surgical Specialties's NPI number?

The NPI number for Periodontics, Oral And Facial Surgical Specialties is 1386234284. It was assigned to this organization in the NPPES registry on January 25, 2021. The provider is doing business as Orange County Oral Surgery and Periodontics.

Where is Periodontics, Oral And Facial Surgical Specialties located?

Periodontics, Oral And Facial Surgical Specialties is located at 29829 Santa Margarita Pkwy Ste 300, Rancho Santa Margarita, CA 92688. The listed phone number is (949) 888-0332.

What is Periodontics, Oral And Facial Surgical Specialties's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Periodontics, Oral And Facial Surgical Specialties was last updated on January 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.