MAYFLOWER ORAL AND MAXILLOFACIAL SURGERY PLLC (NPI# 1538391214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538391214 |
| Entity Type | Organization |
| Organization Name | MAYFLOWER ORAL AND MAXILLOFACIAL SURGERY PLLC |
| Practice Address |
5600 N May Ave Suite 250 Oklahoma City OK 73112-3973 |
| Mailing Address |
675 Paramount Dr Suite 105 Raynham MA 02767-5416 |
| Practice Telephone | 4058487974 |
| Practice Fax Number | 4058480033 |
| Mailing Telephone | 4058487974 |
| Mailing Fax Number | 4058480033 |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2009-08-14 |
| Authorized Official Name | DR. NICHOLAS C VEGA (ORAL SURGEON) |
| Authorized Official Telephone | 4058487974 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DN1855112 | MA | Dental Providers |
| Street Address |
5600 N MAY AVE SUITE 250 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-3973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144763590 | Adam Boyd | Physical Therapy Assistant | 5600 N May Ave, 147, Oklahoma City, OK 73112-3973 | 2016-12-02 |
| 1720338932 | Interim Healthcare of Oklahoma City, Inc. | Home Health | 5600 N May Ave, Suite 145, Oklahoma City, OK 73112-3973 | 2012-09-14 |
| 1447561741 | Innovative Senior Care Home Health of Edmond LLC | Home Health | 5600 N May Ave, Ste 147, Oklahoma City, OK 73112-3973 | 2010-07-01 |
| 1437381753 | Tahoe Oral and Maxillofacial Surgery | Dentist | 5600 N May Ave, Suite 250, Oklahoma City, OK 73112-3973 | 2009-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477927085 | Justin Pisano | Dentist | 429 Nw 11th St, Apt 6, Oklahoma City, OK 73103-3927 | 2015-11-19 |
| 1558776989 | Daniel Szalay | Dentist | 1201 N Stonewall Ave Ste 206, Oklahoma City, OK 73117-1214 | 2014-06-24 |
| 1649690025 | Andrew Mcgarry | Dentist | 10900 Hefner Pointe Dr Ste 204, Oklahoma City, OK 73120 | 2014-04-23 |
| 1962523100 | University Oral & Maxillofacial Surgeons | Dentist | 1201 North Stonewall Avenue, Oklahoma City, OK 73117 | 2007-04-03 |
| 1649313206 | Anil K Kashyap | Dentist | 920 Stanton L Young Blvd Dept, Wp-2140, Oklahoma City, OK 73104-5036 | 2007-02-14 |
| 1497894604 | Zeneida G Vasquez Dds PC | Dentist | 1224 Sw 104th St, Suite B, Oklahoma City, OK 73139-3020 | 2007-02-05 |
| 1073681789 | James Andrew Wendelken | Dentist | 3727 Nw 63 Street, Suite 300, Oklahoma City, OK 73116 | 2006-12-01 |
| 1043384357 | William M. Croom | Dentist | 1201 N Stonewall Ave # Dcsb206, Oklahoma City, OK 73117-1214 | 2006-11-20 |
| 1841371010 | Michael Duffy | Dentist | 1201 N Stonewall Ave Ste 230, Oklahoma City, OK 73117 | 2006-10-17 |
| 1427148394 | Emily Marie Frye | Dentist | 3100 W Britton Rd Ste A, Oklahoma City, OK 73120-2036 | 2006-10-13 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
Please comment or provide details below to improve the information on MAYFLOWER ORAL AND MAXILLOFACIAL SURGERY PLLC.
| 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.