Provider Type Icon

TUSCARAWAS ORAL & MAXILLOFACIAL SURGERY INC. NPI 1447227301


NPI Information

NPI: 1447227301
Provider Name: TUSCARAWAS ORAL & MAXILLOFACIAL SURGERY, INC.
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization

CLIA Number: 36D0927348

Address:
1456 KADERLY ST NW
NEW PHILADELPHIA, OH
ZIP 44663
Phone: (330) 364-8665
Get Directions

TUSCARAWAS ORAL & MAXILLOFACIAL SURGERY, INC. is an oral maxillofacial surgery in New Philadelphia, OH. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. TUSCARAWAS ORAL & MAXILLOFACIAL SURGERY, INC. NPI is 1447227301. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1456 KADERLY ST NW
NEW PHILADELPHIA, OH
ZIP 44663-243
Phone: (330) 364-8665
Fax: (330) 364-8667

The provider's authorized official is C. Randall Doan .
The authorized official title is President and has the following contact phone number (330) 364-8665.

The CLIA number assigned to this NPI record is 36D0927348 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/1/2006 and was last updated on 2/8/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryOHIONo
2204E00000XOral & Maxillofacial SurgeryOHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1TU9935061MEDICARE ID-TYPE UNSPECIFIEDOHIO
20882086MEDICAIDOHIO
3=========-00OTHEROHIOWORKERS' COMPENSATION

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: 4/28/2024

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.