Cincinnati Oral & Maxillofacial Surg. Inc.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

16069 Issued in OH

Legal business name

CINCINNATI ORAL & MAXILLOFACIAL SURG. INC.

Practice address

2852 Boudinot Ave
Cinti, OH 45238

Phone

(513) 451-7300

Fax

(513) 347-2382

NPI assigned

Dec 2, 2008

Last updated

Dec 2, 2008By 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

Mary T. Belperio

Title

Administrative Assistant

Phone

(513) 451-7300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228176000000",
    "number": "1194960328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2852 BOUDINOT AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45238",
            "telephone_number": "513-451-7300",
            "fax_number": "513-347-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2852 BOUDINOT AVE",
            "city": "CINTI",
            "state": "OH",
            "postal_code": "45238",
            "telephone_number": "513-451-7300",
            "fax_number": "513-347-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINCINNATI ORAL & MAXILLOFACIAL SURG. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A",
        "authorized_official_last_name": "BELPERIO",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "513-451-7300"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "16069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dallas G Auvil, MD
• Felicia Betts
• Jamesetta Booker
• Jessy Burns, MA CCC SLP
• Khadijah Imani Chappell, CNA
• Donna Marie Conner
• Ann Marie C Fix, MD
• Forest Hills Pediatrics LLC
• James Douglass Gray, R.N.
• Yvonne Love-Baughman, LPN

• Oral and Maxillofacial Surgery (Dentist) in Cinti, OH
• Providers in Cinti, 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 Dec 2, 2008; 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.