Clearfield Oral Facial and Implant Surgery PC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

CLEARFIELD ORAL FACIAL AND IMPLANT SURGERY PC

Doing business as

Advanced Oral Surgery & Implant Center of Dubois

Practice address

90 Beaver Dr Ste 209D
Du Bois, PA 15801-2449

Phone

(412) 223-5880

Fax

(412) 223-5883

NPI assigned

Jul 9, 2024

Last updated

Jul 9, 2024By 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

Dr. Jeremy Rice, DO, DMDNPI 1750698387

Title

Owner

Phone

(412) 223-5880

Specialties & licenses 1

Addresses

Other names 1

• Advanced Oral Surgery & Implant Center of Dubois Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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.

• Katherine Nicole Richardson, MS, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Du Bois, PA
  • NPI 1588125454
  Medicare reassignment NPD
• Jeremy Grant Rice, D.O., D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Glenshaw, PA
  • NPI 1750698387
  NPD Authorized official
• Daniel Kirkpatrick, DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Glenshaw, PA
  • NPI 1205360427

  Single Specialty

  NPD

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1528805579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 MOUNT ROYAL BLVD",
            "city": "GLENSHAW",
            "state": "PA",
            "postal_code": "151162206",
            "telephone_number": "412-223-5880",
            "fax_number": "412-223-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 BEAVER DR STE 209D",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012449",
            "telephone_number": "412-223-5880",
            "fax_number": "412-223-5883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARFIELD ORAL FACIAL AND IMPLANT SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-223-5880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO, DMD"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Oral Surgery & Implant Center of Dubois",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph C Clark, DO
• Kent William Clark
• Clear Mind Coaching LLC
• Clearfield Jefferson CMHC
• Clearfield Jefferson Head and Neck Surgical Associates, Inc.
• Clearfield-Jefferson CMHC
• Clearfield-Jefferson CMHC
• Clearfield-Jefferson CMHC
• Clearfield-Jefferson CMHC
• Clearfield-Jefferson Primary Care Associates PC

• Oral & Maxillofacial Surgery (D.M.D.) in Du Bois, PA
• Providers in Du Bois, PA by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.