CENTRE ORAL & FACIAL SURGERY P.C. NPI 1386692184

NPI Information

NPI: 1386692184
Provider Name: CENTRE ORAL & FACIAL SURGERY, P.C.
Classification: Dentist - 1223S0112X
Specialization: Oral and Maxillofacial Surgery
Entity Type: Organization
CLIA Number: 39D1061488
Address: 474 WINDMERE DR
SUITE 202
STATE COLLEGE, PA
ZIP 16801
Phone: (814) 235-7700

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NPI Details

CENTRE ORAL & FACIAL SURGERY, P.C. is an oral and maxillofacial surgery dentist in State College, PA. The provider is an oral and maxillofacial surgery dentist 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. CENTRE ORAL & FACIAL SURGERY, P.C. NPI is 1386692184. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

474 WINDMERE DR
SUITE 202
STATE COLLEGE, PA
ZIP 16801-668
Phone: (814) 235-7700
Fax: (814) 235-7633

The provider's authorized official is Gregory F Kewitt .
The authorized official title is Owner/president and has the following contact phone number (814) 235-7700.

The CLIA number assigned to this NPI record is 39D1061488 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 4/18/2024.

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
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	DS029616L	PENNSYLVANIA	Yes
2	204E00000X	Oral & Maxillofacial Surgery		MD073230L	PENNSYLVANIA	No
3	2082S0099X	Plastic Surgery	Plastic Surgery Within the Head and Neck	MD073230L	PENNSYLVANIA	No

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
1	KE1304618	OTHER	PENNSYLVANIA	HIGHMARK BLUE SHIELD

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

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