Center for Oral & Maxillofacial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

21553 Issued in OH

Legal business name

CENTER FOR ORAL & MAXILLOFACIAL SURGERY

Practice address

1816 Chapel Dr
Suite H
Findlay, OH 45840

Phone

(419) 423-4651

Fax

(419) 423-4320

NPI assigned

Apr 29, 2008

Reactivated

Feb 26, 2020

Organization subpart

No

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

Authorized official

Name

Dr. John D Erdeljac, DDS

Title

Owner

Phone

(419) 423-4651

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ihor J Danko, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Bay Village, OH
  • NPI 1760523211
  NPD (past)
• Richard John Lee, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Fostoria, OH
  • NPI 1578646915
  NPD (past)

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1033384268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 CHAPEL DR",
            "address_2": "SUITE H",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "458401331",
            "telephone_number": "419-423-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 CHAPEL DR",
            "address_2": "SUITE H",
            "city": "FINDLAY",
            "state": "OH",
            "postal_code": "45840",
            "telephone_number": "419-423-4651",
            "fax_number": "419-423-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "deactivation_date": "2018-04-24",
        "reactivation_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "ERDELJAC",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-423-4651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "21553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2470302",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aldeane Casto
• Casey Brandon Casto, SLP
• Valerie Cates, LSW
• Makenna Joan Cavanaugh, BSW, LSW
• Juanita Nazario Cavazos
• Century Health, Inc
• Century Health, Inc.
• Century Health, Inc.
• Diana Chaban, RPH
• Hannah Chabot

• Oral and Maxillofacial Surgery (Dentist) in Findlay, OH
• Providers in Findlay, OH by specialty
• Oral and Maxillofacial Surgery (Dentist) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.