Mark Alan Oghalai, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

6854 Issued in NC

Practice address

1405 Westgate Center Dr
Winston-Salem, NC 27103-2995

Phone

(336) 765-5374

Fax

(336) 760-3066

NPI assigned

Jun 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Sep 6, 2012 through Sep 6, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• DRS. Bailey, Peoples, & Oghalai, P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Winston-Salem, NC
  • NPI 1568438091
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1467495069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 WESTGATE CENTER DR",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271032995",
            "telephone_number": "336-765-5374",
            "fax_number": "336-760-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 WESTGATE CENTER DR",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271032995",
            "telephone_number": "336-765-5374",
            "fax_number": "336-760-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OGHALAI",
        "first_name": "MARK",
        "middle_name": "ALAN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "6854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902EY",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "89902EY",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nana ABA Ofosu, MD
• Evbusogie Nekpen Ogbeide, M.D.
• Olivia Ogburn, NP
• Maria Ogedengbe
• Amy Williams Oghalai, CRNA
• Nathan George Ogilvie, PA
• Selories Oglesby
• Sonya Renee Oglesby, LPC, LCAS-A
• Ayobami Samson Ogunsola, MBBS
• Yoji Ogura, MD

• Oral and Maxillofacial Surgery (Dentist) in Winston-Salem, NC
• Providers in Winston-Salem, NC by specialty
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.