NPIMap

Organization Active NPI

Akron Oral & Maxillofacial Surgery Group

  • Oral and Maxillofacial Surgery (Dentist)
  • Akron, OH
National Provider Identifier
1841479649
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
18932 Issued in OH
Legal business name
AKRON ORAL & MAXILLOFACIAL SURGERY GROUP
Practice address
539 White Pond Drive
Suite C
Akron, OH 44320
Phone
(330) 836-2882
Fax
(330) 836-6085
NPI assigned
Oct 29, 2007
Last updated
Oct 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Authorized official

Name
Dr. Edward J McDonnell, DDS MSNPI 1689758633
Title
President/Owner
Phone
(330) 836-2882

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)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 18932 OH Primary

Addresses

Primary practice location

539 White Pond Drive
Suite C
Akron, OH 44320

Mailing address

539 White Pond Drive
Suite C
Akron, OH 44320
Phone (330) 836-2882

National Provider Directory

National Provider Directory

Locations

554 White Pond Dr
Ste B
Akron, OH 44320
Phone (330) 836-2882

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1841479649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 WHITE POND DRIVE",
            "address_2": "SUITE C",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44320",
            "telephone_number": "330-836-2882",
            "fax_number": "330-836-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 WHITE POND DRIVE",
            "address_2": "SUITE C",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44320",
            "telephone_number": "330-836-2882",
            "fax_number": "330-836-6085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKRON ORAL & MAXILLOFACIAL SURGERY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "MCDONNELL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "330-836-2882",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "18932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

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