INSTITUTE OF JAW AND FACIAL SURGERY INC (NPI# 1689647018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689647018 |
| Entity Type | Organization |
| Organization Name | INSTITUTE OF JAW AND FACIAL SURGERY INC |
| Practice Address |
4181 Holiday St Nw Canton OH 44718-2531 |
| Practice Telephone | 3304931605 |
| Practice Fax Number | 3304939308 |
| Mailing Telephone | 3304931605 |
| Mailing Fax Number | 3304939308 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2012-04-18 |
| Authorized Official Name | DR. RICHARD N SUNDHEIMER (PRESIDENT) |
| Authorized Official Telephone | 3304931605 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0600433 | 05 | |
| OH | 0733255 | 05 | |
| OH | 0524534 | 05 |
| Street Address |
4181 HOLIDAY ST NW |
| City | CANTON |
| State | OH |
| Zip Code | 44718-2531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679789853 | Suzanne S Barnhart | Physical Therapist | 4181 Holiday St Nw, Canton, OH 44718-2531 | 2007-05-15 |
| 1215019799 | Michael R Zetz | Dentist | 4181 Holiday St Nw, Canton, OH 44718-2531 | 2006-10-20 |
| 1609958198 | Richard Neil Sundheimer | Dentist | 4181 Holiday St Nw, Canton, OH 44718-2531 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658057 | Christine Lynn Mccrone | Psychologist | 4450 Belden Village St Nw Ste 701, Canton, OH 44718 | 2018-08-07 |
| 1295252500 | Dora C Holliday | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr N.w., Canton, OH 44718 | 2017-08-28 |
| 1770035487 | A B A Let's Play, Inc. | Community/Behavioral Health | 6304 Shipslanding Ave Nw, Canton, OH 44718 | 2016-10-28 |
| 1457710139 | Aria Lg Counseling and Wellness Center, LLC | Clinic/Center | 5262 Fulton Road Nw, Canton, OH 44718 | 2016-02-23 |
| 1457722365 | Melinda R Bond | Nurse Practitioner | 4105 Holiday Street Nw, Canton, OH 44718 | 2015-10-19 |
| 1164804860 | Ashley Marie Whetsell | Dentist | 4550 Belden Village Street Nw, Canton, OH 44718 | 2015-06-18 |
| 1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
| 1699198390 | Lauri Sanders | Social Worker | 5860 Fulton Dr Nw, Canton, OH 44718 | 2014-01-31 |
| 1376893768 | Courteney R Briceland | Social Worker | 4641 Fulton Rd. Nw, Canton, OH 44718 | 2012-09-13 |
| 1982953220 | Lyudmyla Z Rockaway | Marriage & Family Therapist | 4895 Dressler Road Nw, Ste A, Canton, OH 44718 | 2012-08-31 |
| Find all providers in zip 44718 | ||||
| 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 |
|---|---|---|---|---|
| 1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
| 1336435726 | North Metro Oral & Maxillofacial Surgery, LLC | Dentist | 4508 Holly Spgs Pkwy, Ste 1, Canton, GA 30115-7842 | 2011-06-23 |
| 1659697670 | Ashley Gibbs Zerweck | Dentist | 4124 Fulton Dr Nw Ste 102, Canton, OH 44718-2852 | 2010-04-15 |
| 1013050913 | Gerard J Bruno | Dentist | 4573 Everhard Rd Nw, Canton, OH 44718-2406 | 2007-02-14 |
| 1770650848 | John W Carey | Dentist | 4508 Holly Sprgs Pkwy, Ste 1, Canton, GA 30115-7842 | 2006-11-30 |
| 1205911864 | David C Ash | Dentist | 4718 Holiday St. N.w., Canton, OH 44718 | 2006-10-25 |
| 1831164466 | Joe L Carpenter | Dentist | 4774 Munson St. Nw, Suite 102, Canton, OH 44718 | 2006-02-17 |
| 1386625341 | Bernard Joseph Johnson | Dentist | 4368 Dressler Rd Nw, Canton, OH 44718-2771 | 2005-11-08 |
| 1083253801 | Ashley Gibbs Zerweck Dmd Inc. | Dentist | 4124 Fulton Dr Nw Ste 102, Canton, OH 44718-2852 | 2019-12-26 |
| 1013366525 | Brookline Oral Surgery Group LLC | Dentist | 500 Chapman St, Suite 201, Canton, MA 02021-2093 | 2016-06-06 |
| Find all providers in CANTON | ||||
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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.