CACHE VALLEY ORAL & FACIAL SURGERY, INC.
NPI 1033497417
Dentist - Oral and Maxillofacial Surgery in Logan, UT
About Cache Valley Oral & Facial Surgery, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CACHE VALLEY ORAL & FACIAL SURGERY, INC. (NPI 1033497417) is a healthcare organization registered as an oral and maxillofacial surgery in Logan, Utah and active in the NPI registry since August 2011. The organization lists Michael S Wilkinson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cache Valley Oral & Facial Surgery, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Cache Valley Oral & Facial Surgery, Inc., which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Cache Valley Oral & Facial Surgery, Inc.'s NPI number?
The NPI number for Cache Valley Oral & Facial Surgery, Inc. is 1033497417. It was assigned to this organization in the NPPES registry on August 2, 2011.
Where is Cache Valley Oral & Facial Surgery, Inc. located?
Cache Valley Oral & Facial Surgery, Inc. is located at 1320 N 600 E Suite 3, Logan, UT 84341. The listed phone number is (435) 752-5681.
What is Cache Valley Oral & Facial Surgery, Inc.'s specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Cache Valley Oral & Facial Surgery, Inc. enrolled in Medicare?
Yes. Cache Valley Oral & Facial Surgery, Inc. is registered in the Medicare PECOS enrollment system.
When is Cache Valley Oral & Facial Surgery, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Utah, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Cache Valley Oral & Facial Surgery, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Cache Valley Oral & Facial Surgery, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Cache Valley Oral & Facial Surgery, Inc. accept?
Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Cache Valley Oral & Facial Surgery, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Cache Valley Oral & Facial Surgery, Inc. was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Cache Valley Oral & Facial Surgery, Inc. · NPI 1033497417
Oral and Maxillofacial Surgery organization in Logan, Utah. Organization record, active in the CMS NPPES registry since August 2, 2011.
## Identity
- **NPI:** 1033497417 (Entity type: Organization)
- **Enumerated:** August 2, 2011
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **Organization subpart:** No
- **Authorized official:** Michael Wilkinson, OWNER
## Practice location
- **Address:** 1320 N 600 E, SUITE 3, Logan, UT 84341-2431
- **Phone:** (435) 752-5681 · **Fax:** (435) 752-5744
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Utah, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Oral Surgery) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1033497417) · Data from the CMS NPPES public registry.