# ORAL SURGERY OFFICE INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1104002294
- **Authorized official:** DR. REGINALD E GOWANS DDS (OWNER PRESIDENT)
- **Authorized official phone:** (916) 782-2161

## Contact information

- **Practice address:** 730 SUNRISE AVE, STE 130, ROSEVILLE, CA 95661
- **Practice address phone:** (916) 782-2161
- **Practice address fax:** (916) 782-0677
- **Mailing address:** 730 SUNRISE AVE, STE 130, ROSEVILLE, CA 95661
- **Mailing address phone:** (916) 782-2161
- **Mailing address fax:** (916) 782-0677

## Taxonomy

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

## Other

- **Enumeration date:** 01/18/2008
- **Last updated:** 01/18/2008