MILL CREEK ORAL & MAXILLOFACIAL SURGERY ASSOCIATES INC (NPI# 1063549236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063549236 |
| Entity Type | Organization |
| Organization Name | MILL CREEK ORAL & MAXILLOFACIAL SURGERY ASSOCIATES INC |
| Practice Address |
5437 Mahoning Ave Ste 12 Austintown OH 44515-2421 |
| Mailing Address |
5437 Mahoning Ave Suite 12 Austintown OH 44515-2437 |
| Practice Telephone | 3307922501 |
| Practice Fax Number | 3307929249 |
| Mailing Telephone | 3307922501 |
| Mailing Fax Number | 3307929249 |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2012-01-23 |
| Authorized Official Name | DR. MARK L BILLY (PRESIDENT) |
| Authorized Official Telephone | 3307922501 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | 204E0000X | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2102638 | 05 |
| Street Address |
5437 MAHONING AVE STE 12 |
| City | AUSTINTOWN |
| State | OH |
| Zip Code | 44515-2421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811505423 | Kelly Lynn Gargas | Registered Nurse | 1051 N Canfiled Niles Rd, Austintown, OH 44515 | 2020-07-20 |
| 1184241648 | Tashandi Magnus | Counselor | 45 N. Canfield Niles Rd., Austintown, OH 44515 | 2020-07-01 |
| 1255829925 | Edward M Vancise | Counselor | 2902 Penny Lane, Austintown, OH 44515 | 2018-04-27 |
| 1932627940 | Erin Michelle Rodgers | Occupational Therapist | 331 N. Yorkshire Blvd., Austintown, OH 44515 | 2017-08-30 |
| 1598281180 | Kathryn Elizabeth Pontius | Home Health | 209 North Yorkshire Blvd, Austintown, OH 44515 | 2017-08-16 |
| 1508387515 | Ashley Bryant | Registered Nurse | 1355 Maplecrest Dr, Youngstown, OH 44515 | 2017-06-29 |
| 1306384706 | Joyce Owens | Behavior Technician | 238 S. Meridian Rd., Austintown, OH 44515 | 2017-02-06 |
| 1982057493 | Renee K Morgan | Social Worker | 5204 Mahoning Ave Ste 105, Austintown, OH 44515 | 2016-07-20 |
| 1609266808 | Regina Leigh Cowell | Physical Therapist | 1450 South Canfield-niles Rd., Youngstown, OH 44515 | 2015-01-27 |
| 1942624507 | Susan Hogan | Speech-Language Pathologist | 245 Idaho Road Lynn Kirk Loop, Youngstown, OH 44515 | 2014-02-18 |
| Find all providers in zip 44515 | ||||
| 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 |
|---|---|---|---|---|
| 1538143508 | Mark L Billy | Oral & Maxillofacial Surgery | 5437 Mahoning Ave, Suite 12, Austintown, OH 44515-2437 | 2005-12-02 |
| 1235115833 | Craig A Wagley | Oral & Maxillofacial Surgery | 5437 Mahoning Ave, Suite 12, Austintown, OH 44515-2437 | 2005-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174098768 | Dr. Bradley Pittman Dds Ltd. | Oral & Maxillofacial Surgery | 205 E. Second St., Defiance, OH 43512 | 2018-10-10 |
| 1831543701 | East Columbus Oral Surgery Specialists Inc. | Oral & Maxillofacial Surgery | 6555 E Broad St., Columbus, OH 43213 | 2016-04-18 |
| 1427209642 | Raquel Milagros Ulma | Oral & Maxillofacial Surgery | 3333 Burnet Ave, Ml 2020, Cincinnati, OH 45229 | 2008-10-07 |
| 1376698753 | Douglas W. Wallace | Oral & Maxillofacial Surgery | 5188 Winton Rd, Fairfield, OH 45014-2900 | 2007-01-24 |
| 1316021363 | David R. Kimberly | Oral & Maxillofacial Surgery | 539 White Pond Drive, Suite C, Akron, OH 44320 | 2006-10-25 |
| 1912090291 | John Philip Neary | Oral & Maxillofacial Surgery | 571 Boston Mills Rd, Suite 100, Hudson, OH 44236-1112 | 2006-10-01 |
| 1891893673 | Donald P Lewis Jr. | Oral & Maxillofacial Surgery | 26300 Euclid Avenue, Suite 410, Euclid, OH 44132 | 2006-09-20 |
| 1982718490 | Michael B Lee | Oral & Maxillofacial Surgery | 7523 State Rd, Cincinnati, OH 45255-2438 | 2006-08-19 |
| 1841238417 | Lorain County Health & Dentistry | Oral & Maxillofacial Surgery | 1205 Broadway, Lorain, OH 44052-3409 | 2006-06-03 |
| 1043202690 | Michael James Grau | Oral & Maxillofacial Surgery | 3805 Edwards Rd Ste 160, Cincinnati, OH 45209-1948 | 2005-08-19 |
| Find all providers with the same taxonomy | ||||
| City | AUSTINTOWN |
| Zip Code | 44515 |
Please comment or provide details below to improve the information on MILL CREEK ORAL & MAXILLOFACIAL SURGERY ASSOCIATES INC.
| 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.