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MILL CREEK ORAL & MAXILLOFACIAL SURGERY ASSOCIATES INC
NPI 1063549236
Oral & Maxillofacial Surgery in Austintown, OH

Active since February 27, 2007
5437 MAHONING AVE STE 12, AUSTINTOWN, OH 44515(330) 792-2501(330) 792-9249 Get Directions Write a Review

NPPES record last updated: January 23, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mill Creek Oral & Maxillofacial Surgery Associates Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MILL CREEK ORAL & MAXILLOFACIAL SURGERY ASSOCIATES INC (NPI 1063549236) is a healthcare organization registered as an oral & maxillofacial surgery in Austintown, Ohio and active in the NPI registry since February 2007. The organization lists Mark L Billy, President, as its authorized official.

NPPES Registry Identity

NPI1063549236
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameMILL CREEK ORAL & MAXILLOFACIAL SURGERY ASSOCIATES INC
Location Address5437 MAHONING AVE STE 12Austintown, OH 44515-2421
Mailing Address5437 Mahoning Ave, Suite 12Austintown, OH 44515-2437 · (330) 792-2501 · Fax (330) 792-9249
Phone(330) 792-2501
Fax(330) 792-9249
Organization SubpartNo
Authorized OfficialMark L BillyPresident · (330) 792-2501
Enumeration DateFebruary 27, 2007
Last NPPES UpdateJanuary 23, 2012
✔ NPI 1063549236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in OH · 204E0000X
Definition
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.
5437 MAHONING AVE STE 12, Austintown, OH 44515
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Other Identifiers 4

Medicare PIN9287533OH
Medicaid2102638OH
Medicare PIN9287532OH
Medicare PIN9287531OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mill Creek Oral & Maxillofacial Surgery Associates Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Mill Creek Oral & Maxillofacial Surgery Associates Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Craig Wagley, DDS MD
Maxillofacial Surgery
NPI 1235115833
5437 MAHONING AVE SUITE 12
Austintown, OH 44515
(330) 792-2501
✔ PECOS✔ Accepts MedicareSame address
Neilson Wagley, DMD
Maxillofacial Surgery
NPI 1427582964
5437 MAHONING AVE
Austintown, OH 44515
(330) 792-2501
✔ PECOS✔ Accepts MedicareSame address
Mark Billy, DDS
Maxillofacial Surgery
NPI 1538143508
1001 COVINGTON ST
Youngstown, OH 44510
(330) 480-3195
✔ PECOS✔ Accepts Medicare5.4 mi

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 Mill Creek Oral & Maxillofacial Surgery Associates Inc's NPI number?

The NPI number for Mill Creek Oral & Maxillofacial Surgery Associates Inc is 1063549236. It was assigned to this organization in the NPPES registry on February 27, 2007.

Where is Mill Creek Oral & Maxillofacial Surgery Associates Inc located?

Mill Creek Oral & Maxillofacial Surgery Associates Inc is located at 5437 Mahoning Ave Ste 12, Austintown, OH 44515. The listed phone number is (330) 792-2501.

What is Mill Creek Oral & Maxillofacial Surgery Associates Inc's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Mill Creek Oral & Maxillofacial Surgery Associates Inc enrolled in Medicare?

Yes. Mill Creek Oral & Maxillofacial Surgery Associates Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mill Creek Oral & Maxillofacial Surgery Associates Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Maxillofacial Surgery, reassign their Medicare billing to Mill Creek Oral & Maxillofacial Surgery Associates 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. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mill Creek Oral & Maxillofacial Surgery Associates Inc was last updated on January 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.