Provider Demographics
NPI:1083701148
Name:ORAL SURGERY ASSOCIATES, INC
Entity Type:Organization
Organization Name:ORAL SURGERY ASSOCIATES, INC
Other - Org Name:ORAL SURGERY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALTERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:702-218-2713
Mailing Address - Street 1:3830 E FLAMINGO RD
Mailing Address - Street 2:E-2
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89121-6234
Mailing Address - Country:US
Mailing Address - Phone:702-278-6411
Mailing Address - Fax:
Practice Address - Street 1:3830 E FLAMINGO RD
Practice Address - Street 2:E-2
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-6234
Practice Address - Country:US
Practice Address - Phone:702-278-6411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial PathologyGroup - Multi-Specialty