The Center for Oral and Maxillofacial Surgery LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

12546 Issued in MO

Legal business name

THE CENTER FOR ORAL AND MAXILLOFACIAL SURGERY LLC

Practice address

53 Doctors Park
Cape Girardeau, MO 63703-4927

Phone

(573) 335-0300

NPI assigned

Feb 23, 2007

Last updated

Aug 22, 2020By 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

John SheetsNPI 1477584662

Title

Oral Surgeon

Phone

(573) 335-0300

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.

• John Sheets, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Cape Girardeau, MO
  • NPI 1477584662
  Authorized official Same address or phone

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053446328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 DOCTORS PARK",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 DOCTORS PARK",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637034927",
            "telephone_number": "573-335-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR ORAL AND MAXILLOFACIAL SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHEETS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ORAL SURGEON",
        "authorized_official_telephone_number": "573-335-0300"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": "12546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry L. Brown, DMD, P.C.
• Charles M Tessman Sr., OD
• Rahul Thampi, M.D.
• Amy Thatcher, PTA
• The Audiology Center,LLC
• The Life of Jesus Organization (Guardians Assisted Living)
• The Orthopedic Center - Cape Girardeau, LLC
• The Tailor Institute, Inc.
• Maegan Thibodeaux
• Carol Thiele, M.S.

• Oral and Maxillofacial Surgery (Dentist) in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.