OASIS ORAL AND FACIAL SURGERY PLLC (NPI# 1023593068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023593068 |
| Entity Type | Organization |
| Organization Name | OASIS ORAL AND FACIAL SURGERY PLLC |
| Practice Address |
21300 N John Wayne Pkwy Ste 114 Maricopa AZ 85139-8964 |
| Mailing Address |
21300 N. John Wayne Pkwy Ste.#114 Maricopa AZ 85139-7834 |
| Practice Telephone | 9162048762 |
| Mailing Telephone | 5202316700 |
| Enumeration Date | 2018-09-25 |
| Last Update Date | 2019-04-22 |
| Authorized Official Name | JARED KENNEY (OWNER) |
| Authorized Official Telephone | 9162048762 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
21300 N JOHN WAYNE PKWY STE 114 |
| City | MARICOPA |
| State | AZ |
| Zip Code | 85139-8964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104238716 | Jared Kenney | Dentist | 21300 N John Wayne Pkwy Ste 114, Maricopa, AZ 85139 | 2014-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538778899 | Star House Bhrf LLC | Clinic/Center | 44796 W Sandhill Road, Maricopa, AZ 85139 | 2020-07-23 |
| 1578020988 | Dentistry At Maricopa, LLC | Dentist | 20046 N. John Wayne Pkwy, Ste 105, Maricopa, AZ 85139 | 2019-02-22 |
| 1043732431 | The Hands of Grace | Case Management | 44570 W Sedona Trl, Maricopa, AZ 85139 | 2017-07-07 |
| 1215466636 | Dustin Jeremy Sowards | Naturopath | 18495 N Miller Way, Maricopa, AZ 85139 | 2017-06-08 |
| 1871029090 | Carolyn Wanyama | Nursing Home Administrator | 44880 W Portabello Road, Maricopa, AZ 85139 | 2017-05-08 |
| 1740638758 | Melissa Marie Trulson | Dentist | 44481 W Honeycutt Rd, Suite 109, Maricopa, AZ 85139 | 2016-05-31 |
| 1093189805 | Community Partners Integrated Healthcare, Inc. | Clinic/Center | 20046 N John Wayne Parkway, Ste 102, Maricopa, AZ 85139 | 2015-11-17 |
| 1134523079 | Shadale Gillespie | Technician | 45565 W. Rainbow Dr., Maricopa, AZ 85139 | 2014-10-21 |
| 1578964516 | Community Partners Integrated Healthcare, Inc. | Clinic/Center | 20046 N. John Wayne Parkway, Ste. 106-a, Maricopa, AZ 85139 | 2014-09-09 |
| 1972922763 | Linda Kay Phillips | Respiratory Therapist, Certified | 19372 N. Kari Ln, Maricopa, AZ 85139 | 2014-04-09 |
| Find all providers in zip 85139 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| 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. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629546171 | San Tan Valley Oral Facial and Implant Surgery Pllc | Oral & Maxillofacial Surgery | 36327 N Gantzel Rd, Suite 102, San Tan Valley, AZ 85140 | 2018-11-02 |
| 1881189199 | Desert Valley Oral Surgery | Oral & Maxillofacial Surgery | 2915 E. Baseline Road, Suite 106, Gilbert, AZ 85234 | 2018-06-28 |
| 1982873311 | Arizona Oral Facial and Implant Surgery LLC | Oral & Maxillofacial Surgery | 2450 W Ray Rd Ste 1, Chandler, AZ 85224-3595 | 2008-02-29 |
| 1538358189 | Mark D. Pogue, M.d. D.d.s., P.C. | Oral & Maxillofacial Surgery | 8535 E Hartford Dr Ste 100, Scottsdale, AZ 85255-5443 | 2007-10-19 |
| 1114125267 | Associates In Oral and Maxillofacial Surgery Pllc | Oral & Maxillofacial Surgery | 3150 N Swan, Tucson, AZ 85712 | 2007-07-10 |
| 1861528465 | Sabah Kalamchi | Oral & Maxillofacial Surgery | 8112 N 87th Pl, Scottsdale, AZ 85258-4335 | 2007-02-26 |
| 1710025044 | Angelle M Casagrande | Oral & Maxillofacial Surgery | 3150 N Swan Road, Tucson, AZ 85712 | 2007-02-01 |
| 1619026564 | Woodlands Oral & Maxillofacial Surgery PC | Oral & Maxillofacial Surgery | 1635 S Plaza Way, Flagstaff, AZ 86001-7102 | 2007-01-09 |
| 1114940335 | Nish S Shah | Oral & Maxillofacial Surgery | 2450 W Ray Rd, Ste 1, Chandler, AZ 85224 | 2006-07-26 |
| 1255327169 | Mark Pogue | Oral & Maxillofacial Surgery | 8535 E Hartford Dr, Scottsdale, AZ 85255-5438 | 2005-09-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.