Warren Oral and Facial Surgery, Inc.

Primary specialty

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

License

35075926 Issued in OH

Legal business name

WARREN ORAL AND FACIAL SURGERY, INC.

Practice address

8893 E Market St
Warren, OH 44484-2351

Phone

(330) 856-7950

Fax

(330) 856-1447

NPI assigned

Oct 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Richard McClain, D.M.D., M.D.

Title

President

Phone

(330) 856-7950

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1760661789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8893 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842351",
            "telephone_number": "330-856-7950",
            "fax_number": "330-856-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8893 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842351",
            "telephone_number": "330-856-7950",
            "fax_number": "330-856-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN ORAL AND FACIAL SURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-856-7950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.D."
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "OH",
            "license": "35075926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2114054",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Warren Ohio Hospital Company LLC
• Warren Ohio Rehab Hospital Company LLC
• Warren Ohio Rehab Hospital Company LLC
• Warren Operations LLC
• Warren Ophthalmology Associates, Corp.
• Warren Otologic Group, Inc
• Renee L Warren, STNA
• Warrendermatologyand Allergymanagementcorp
• Karen Latrice Washington, PMHNP
• Alyssa Kay Watson

• Oral & Maxillofacial Surgery (D.M.D.) in Warren, OH
• Providers in Warren, OH by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.