Healthcare Provider Details

I. General information

NPI: 1295649713
Provider Name (Legal Business Name): SURGICAL ARTS & IMPLANT SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5335 FAR HILLS AVE STE 118
DAYTON OH
45429-2317
US

IV. Provider business mailing address

5335 FAR HILLS AVE STE 118
DAYTON OH
45429-2317
US

V. Phone/Fax

Practice location:
  • Phone: 937-439-5912
  • Fax: 937-439-3665
Mailing address:
  • Phone: 937-439-5912
  • Fax: 937-439-3665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number StateNULL

VIII. Authorized Official

Name: ARMANDO URIBE RIVERA
Title or Position: ORAL AND MAXILLOFACIAL SURGEON
Credential: DDS, MS
Phone: 937-439-5912