Active NPI
East Ohio Oral & Maxillofacial Surgery, Inc.
- Oral and Maxillofacial Surgery (Dentist)
- Zanesville, OH
National Provider Identifier
1952582975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0185982 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Columbus, OH
- NPI 1447514260
-
- Oral and Maxillofacial Surgery (Dentist)
- Zanesville, OH
- NPI 1104844554
-
- Oral and Maxillofacial Surgery (Dentist)
- Zanesville, OH
- NPI 1922468875
-
- Oral & Maxillofacial Surgery (D.M.D.)
- Zanesville, OH
- NPI 1295704344
Oral and Maxillofacial Surgery
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.