Organization Active NPI

Oral Facial Surgery Centre of Wayne & Holmes Co Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Wooster, OH
National Provider Identifier
1962689968
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
18119 Issued in OH
Legal business name
ORAL FACIAL SURGERY CENTRE OF WAYNE & HOLMES CO INC
Practice address
208 E Milltown Rd
Wooster, OH 44691-1246
Phone
(330) 345-1582
Fax
(330) 345-0913
NPI assigned
Jan 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Authorized official

Name
Dr. Vincent Louis Fiorita, D.D.S.,M.S.
Title
Owner
Phone
(330) 345-1582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X 18119 OH Primary

Addresses

Primary practice location

208 E Milltown Rd
Wooster, OH 44691-1246

Mailing address

208 E Milltown Rd
Wooster, OH 44691-1246
Phone (330) 345-1582

Other identifiers 1

IdentifierTypeStateIssuer
0976207MedicaidOH

National Provider Directory

National Provider Directory

Locations

208 E Milltown Rd
Wooster, OH 44691
Phone (330) 345-1582

208 E Milltown Rd
Ste A
Wooster, OH 44691
Phone (330) 345-1582

Practitioners & affiliated clinicians

Practitioners 2

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": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1962689968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 E MILLTOWN RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911246",
            "telephone_number": "330-345-1582",
            "fax_number": "330-345-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 E MILLTOWN RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911246",
            "telephone_number": "330-345-1582",
            "fax_number": "330-345-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL FACIAL SURGERY CENTRE OF WAYNE & HOLMES CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "FIORITA",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-345-1582",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S.,M.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "18119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0976207",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.