# OASIS ORAL SURGERY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023388196
- **Authorized official:** BRYANT JONES (OWNER)
- **Authorized official phone:** (215) 904-8951

## Contact information

- **Practice address:** 9501 ROOSEVELT BLVD, SUITE 101, PHILADELPHIA, PA 19114-1025
- **Practice address phone:** (215) 904-8951
- **Mailing address:** 9501 ROOSEVELT BLVD, SUITE 101, PHILADELPHIA, PA 19114-1025
- **Mailing address phone:** (215) 904-8951

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DS038152 | PA | Yes |

## Other

- **Enumeration date:** 01/06/2012
- **Last updated:** 01/19/2016