Organization Active NPI

East Ohio Oral & Maxillofacial Surgery, Inc.

  • Oral and Maxillofacial Surgery (Dentist)
  • Zanesville, OH
National Provider Identifier
1952582975
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
EAST OHIO ORAL & MAXILLOFACIAL SURGERY, INC.
Practice address
3515 Cliffhanger Way
Zanesville, OH 43701-6420
Phone
(740) 450-2500
Fax
(740) 450-2505
NPI assigned
Nov 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Dawn M Miller
Title
Insurance
Phone
(740) 450-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

3515 Cliffhanger Way
Zanesville, OH 43701-6420

Mailing address

3515 Cliffhanger Way
Zanesville, OH 43701-6420
Phone (740) 450-2500

Other identifiers 1

IdentifierTypeStateIssuer
0185982MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031209000246 OH Part B Supplier - Clinic/Group Practice 6709782022 Receives reassigned benefits from 3 practitioners
Practice locations: Newark, OH; Westerville, OH; Zanesville, OH

National Provider Directory

National Provider Directory

Locations

7297 John Glenn Hwy
Cambridge, OH 43725
Phone (740) 432-8768

6353 N Hamilton Rd
Westerville, OH 43081
Phone (740) 951-9190

3515 Cliffhanger Way
Zanesville, OH 43701
Phone (740) 450-2500

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1952582975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 CLIFFHANGER WAY",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437016420",
            "telephone_number": "740-450-2500",
            "fax_number": "740-450-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 CLIFFHANGER WAY",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437016420",
            "telephone_number": "740-450-2500",
            "fax_number": "740-450-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST OHIO ORAL & MAXILLOFACIAL SURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "INSURANCE",
        "authorized_official_telephone_number": "740-450-2500"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0185982",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.