# OCEAN ORAL AND MAXILLOFACIAL SURGERY

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

## Provider details

- **NPI number:** 1386348621
- **Authorized official:** ALAN SHAW DDS, MD (PARTNER)
- **Authorized official phone:** (714) 841-4954

## Contact information

- **Practice address:** 18800 MAIN ST STE 205, HUNTINGTON BEACH, CA 92648-1718
- **Practice address phone:** (714) 841-4954
- **Practice address fax:** (714) 841-4964
- **Mailing address:** 18800 MAIN ST STE 205, HUNTINGTON BEACH, CA 92648-1718
- **Mailing address phone:** (714) 841-4954
- **Mailing address fax:** (714) 841-4964

## 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:** 03/29/2023
- **Last updated:** 03/29/2023