Active NPI
Oral and Maxillofacial Surgery, LTD.
- Oral and Maxillofacial Surgery (Dentist)
- Greensburg, PA
National Provider Identifier
1629020771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- Legal business name
- ORAL AND MAXILLOFACIAL SURGERY, LTD.
- Practice address
- 31 N Maple Ave
Greensburg, PA 15601-2503 - Phone
- (724) 837-7770
- Fax
- (724) 838-7731
- NPI assigned
- May 17, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert W Queale, DMD
- Title
- President
- Phone
- (724) 837-7770
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | Primary |
Addresses
Primary practice location
31 N Maple Ave
Greensburg, PA 15601-2503
Mailing address
31 N Maple Ave
Greensburg, PA 15601-2503
Phone (724) 837-7770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
31 N Maple Ave
Greensburg, PA 15601
Phone (724) 837-7770
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Oral and Maxillofacial Pathology Dentistry
- Greensburg, PA
- NPI 1801877006
-
- Oral and Maxillofacial Surgery (Dentist)
- Greensburg, PA
- NPI 1891131876
-
- Oral and Maxillofacial Surgery (Dentist)
- Greensburg, PA
- NPI 1154302859
-
- Oral and Maxillofacial Surgery (Dentist)
- Huntersville, NC
- NPI 1356447031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1629020771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 N MAPLE AVE",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156012503",
"telephone_number": "724-837-7770",
"fax_number": "724-838-7731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 N MAPLE AVE",
"city": "GREENSBURG",
"state": "PA",
"postal_code": "156012503",
"telephone_number": "724-837-7770",
"fax_number": "724-838-7731"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORAL AND MAXILLOFACIAL SURGERY, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "QUEALE",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "724-837-7770",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.