Organization Active NPI

The Center for Oral and Maxillofacial Surgery Professional Association

  • Oral and Maxillofacial Surgery (Dentist)
  • West Lebanon, NH
National Provider Identifier
1073600706
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
THE CENTER FOR ORAL AND MAXILLOFACIAL SURGERY PROFESSIONAL ASSOCIATION
Practice address
16 Airport Road
West Lebanon, NH 03766-1681
Phone
(603) 298-7557
Fax
(888) 857-3155
NPI assigned
Oct 6, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Craig H Cohen, D.M.D.NPI 1205895927
Title
President
Phone
(603) 298-7557

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NH Primary

Addresses

Primary practice location

16 Airport Road
West Lebanon, NH 03766-1681

Mailing address

16 Airport Road
West Lebanon, NH 03784-1681
Phone (603) 298-7557

National Provider Directory

National Provider Directory

Locations

367 State Route 120
Unit E1
Lebanon, NH 03766
Phone (603) 643-1700

16 Airport Rd
West Lebanon, NH 03784
Phone (603) 298-7557

16 Airport Rd
Uppr Vly
West Lebanon, NH 03784
Phone (603) 298-7557

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1073600706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 AIRPORT ROAD",
            "city": "WEST LEBANON",
            "state": "NH",
            "postal_code": "037841681",
            "telephone_number": "603-298-7557",
            "fax_number": "888-857-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 AIRPORT ROAD",
            "city": "WEST LEBANON",
            "state": "NH",
            "postal_code": "037661681",
            "telephone_number": "603-298-7557",
            "fax_number": "888-857-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR ORAL AND MAXILLOFACIAL SURGERY PROFESSIONAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-298-7557",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lebanon, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.