Oral & Maxillofacial Surgery PSC Inc

Primary specialty

Oral and Maxillofacial Surgery Clinic/CenterTaxonomy code 261QS0112X

License

4340 Issued in KY

Legal business name

ORAL & MAXILLOFACIAL SURGERY PSC INC

Practice address

2301 Lexington Ave
Ste 120
Ashland, KY 41101

Phone

(606) 329-2219

Fax

(606) 325-9997

NPI assigned

Sep 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Winfield C John III, DMDNPI 1710158464

Title

President

Phone

(606) 329-2219

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Winfield Clinton John III, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Ashland, KY
  • NPI 1710158464
  NPD (past) Authorized official

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831292226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 LEXINGTON AVE",
            "address_2": "STE 120",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "41101",
            "telephone_number": "606-329-2219",
            "fax_number": "606-325-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 LEXINGTON AVE",
            "address_2": "STE 120",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "41101",
            "telephone_number": "606-329-2219",
            "fax_number": "606-325-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL & MAXILLOFACIAL SURGERY PSC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "WINFIELD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-329-2219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QS0112X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oral and Maxillofacial Surgery",
            "state": "KY",
            "license": "4340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60043403",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Michael Oneal, PTA
• Amanda M. Oney, LCSW
• Beverly Oney, PTA
• Option Care Enterprises Inc
• Option Care Enterprises, Inc.
• Alisha Rae Ortiz
• Crystal Osborn
• Jacob Allen Osborne, PHARM.D.
• Kimberly Ann Osborne, APRN
• Adam Phillip Otworth, PA-C

• Oral and Maxillofacial Surgery Clinic/Center in Ashland, KY
• Providers in Ashland, KY by specialty
• Oral and Maxillofacial Surgery Clinic/Center in Kentucky

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.