Muskingum Valley Oral Surgery, Inc.

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

30.021802 Issued in OH

Legal business name

MUSKINGUM VALLEY ORAL SURGERY, INC.

Practice address

510 Arends Ridge Rd
Marietta, OH 45750-5332

Phone

(740) 236-9392

Fax

(740) 439-0894

NPI assigned

Nov 22, 2016

Last updated

Sep 25, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jeffery S Lee, DDS MSNPI 1013997519

Title

Owner

Phone

(740) 432-8768

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffery S. Lee, DDS MS

  • Dentist
  • Marietta, OH
  • NPI 1013997519
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1013450014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 ARENDS RIDGE RD",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457505332",
            "telephone_number": "740-236-9392",
            "fax_number": "740-439-0894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 ARENDS RIDGE RD",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457505332",
            "telephone_number": "740-236-9392",
            "fax_number": "740-439-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSKINGUM VALLEY ORAL SURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-432-8768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30.021802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Munjas
• Christopher Murphy, MD
• Jason Murphy
• Siva R Murthy, MD
• Muskingum Township Ttee (Oak Grove Volunteer Fire and Rescue)
• Mark E Musselwhite, DO
• Ryan Nagy, MD
• Rosa Nardo, PA-C
• Elbert John Nash, DO
• National Birth Centers, Inc.

• Oral and Maxillofacial Surgery Clinic/Center in Marietta, OH
• Providers in Marietta, OH by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.