NPIMap

Organization Active NPI

Dr. Bradley Pittman DDS LTD.

Doing business as Center for Oral & Maxillofacial Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Wauseon, OH
National Provider Identifier
1306743885
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
DR. BRADLEY PITTMAN DDS LTD.
Doing business as
Center for Oral & Maxillofacial Surgery
Practice address
447 N Shoop Ave
Wauseon, OH 43567-1261
Phone
(419) 335-7888
NPI assigned
Oct 20, 2026
Last updated
Oct 20, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
DR. BRADLEY PITTMAN DDS LTD.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 20, 2026

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

Authorized official

Name
Michaela Muniz
Title
VP, Payor Relations
Phone
(469) 324-3242

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X Primary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X

Addresses

Primary practice location

447 N Shoop Ave
Wauseon, OH 43567-1261

Mailing address

447 N Shoop Ave
Wauseon, OH 43567-1261
Phone (419) 335-7888

Other names 1

  • Center for Oral & Maxillofacial Surgery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dr Bradley Pittman DDS LTD4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

447 N Shoop Ave
Wauseon, OH 43567
Phone (419) 337-7980

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1792454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792454400000",
    "number": "1306743885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 N SHOOP AVE",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435671261",
            "telephone_number": "419-335-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 N SHOOP AVE",
            "city": "WAUSEON",
            "state": "OH",
            "postal_code": "435671261",
            "telephone_number": "419-335-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BRADLEY PITTMAN DDS LTD.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR. BRADLEY PITTMAN DDS LTD.",
        "enumeration_date": "2026-10-20",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "MICHAELA",
        "authorized_official_title_or_position": "VP, PAYOR RELATIONS",
        "authorized_official_telephone_number": "469-324-3242"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Oral & Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wauseon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2026; 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.