SONORA ORAL & MAXILLOFACIAL SURGERY
NPI 1972896785
Dentist - Oral and Maxillofacial Surgery in Sonora, CA

Active since May 26, 2011
940 SYLVA LN, SUITE K-1, SONORA, CA 95370(209) 532-5578(209) 532-6730 Get Directions Write a Review

NPPES record last updated: May 26, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sonora Oral & Maxillofacial Surgery NPPES

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

SONORA ORAL & MAXILLOFACIAL SURGERY (NPI 1972896785) is a healthcare organization registered as an oral and maxillofacial surgery in Sonora, California and active in the NPI registry since May 2011. The organization lists Slim Bouchoucha, Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1972896785
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSONORA ORAL & MAXILLOFACIAL SURGERY DENTAL GROUP
Location Address940 SYLVA LN, SUITE K-1Sonora, CA 95370-5969
Mailing Address940 Sylva Ln, Suite K-1Sonora, CA 95370-5969 · (209) 532-5578 · Fax (209) 532-6730
Fax(209) 532-6730
Organization SubpartNo
Authorized OfficialSlim BouchouchaDoctor/owner · (209) 532-5578
Enumeration DateMay 26, 2011
NPI 1972896785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
940 SYLVA LN, Sonora, CA 95370

Other Names 1

Doing Business AsSonora Oral & Maxillofacial Surgery

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
940 SYLVA LN, BLDG. B
SONORA, CA 95370
Dentist (Oral and Maxillofacial Surgery)
940 SYLVA LN, SUITE K1
SONORA, CA 95370
Dentist (General Practice)
940 SYLVA LN, SUITE C
SONORA, CA 95370
Registered Nurse
940 SYLVA LN
SONORA, CA 95370
Ophthalmology
940 SYLVA LN, STE.G
SONORA, CA 95370
Eyewear Supplier
940 SYLVA LN, SUITE G
SONORA, CA 95370
Orthopaedic Surgery
940 SYLVA LN, SUITE E
SONORA, CA 95370
Clinic/Center (Ambulatory Surgical)
940 SYLVA LN, SUITE G
SONORA, CA 95370

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 Sonora Oral & Maxillofacial Surgery Dental Group's NPI number?

The NPI number for Sonora Oral & Maxillofacial Surgery Dental Group is 1972896785. It was assigned to this organization in the NPPES registry on May 26, 2011. The provider is doing business as Sonora Oral & Maxillofacial Surgery.

Where is Sonora Oral & Maxillofacial Surgery Dental Group located?

Sonora Oral & Maxillofacial Surgery Dental Group is located at 940 Sylva Ln Suite K-1, Sonora, CA 95370. The listed phone number is (209) 532-5578.

What is Sonora Oral & Maxillofacial Surgery Dental Group'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 Sonora Oral & Maxillofacial Surgery Dental Group was last updated on May 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.