BUCKEYE ORAL & MAXILLOFACIAL SURGEY NPI 1073855193

NPI Information

  • NPI: 1073855193
  • Provider Name: BUCKEYE ORAL & MAXILLOFACIAL SURGEY
  • Classification: Clinic/Center - 261QS0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Former Legal Business Name: BUCKEYE ORAL & MAXILLOFACIAL SURGERY
  • Address: 110 POLARIS PARKWAY
    SUITE 110
    WESTERVILLE, OH
    ZIP 43082
  • Phone: (614) 794-9700

Map and Directions

Get Directions

NPI Details

BUCKEYE ORAL & MAXILLOFACIAL SURGEY is an oral and maxillofacial surgery clinic center in Westerville, OH. The provider is an oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. BUCKEYE ORAL & MAXILLOFACIAL SURGEY NPI is 1073855193. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Buckeye Oral & Maxillofacial Surgery.

The provider's business location address is:

110 POLARIS PARKWAY
SUITE 110
WESTERVILLE, OH
ZIP 43082-000
Phone: (614) 794-9700

The provider's authorized official is Jack B Mcewan .
The authorized official title is Owner and has the following contact phone number (614) 794-9700.

The enumeration date for this NPI number is 3/27/2013 and was last updated on 3/27/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS0112XClinic/CenterOral and Maxillofacial Surgery30022456OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12711882MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI