PA ORAL FACIAL & IMPLANT SURGERY
NPI 1063801397
Dentist - Oral and Maxillofacial Surgery in Du Bois, PA

Active since January 09, 2015
90 BEAVER DR, SUITE 101A, DU BOIS, PA 15801(814) 375-0500(814) 375-0124 Get Directions Write a Review

NPPES record last updated: January 9, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pa Oral Facial & Implant Surgery NPPES

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

PA ORAL FACIAL & IMPLANT SURGERY (NPI 1063801397) is a healthcare organization registered as an oral and maxillofacial surgery in Du Bois, Pennsylvania and active in the NPI registry since January 2015. The organization lists Barbara Spohn, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1063801397
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NamePA ORAL FACIAL & IMPLANT SURGERY
Location Address90 BEAVER DR, SUITE 101ADu Bois, PA 15801-2440
Mailing Address90 Beaver Dr, Suite 101aDu Bois, PA 15801-2440 · (814) 375-0500 · Fax (814) 375-0124
Fax(814) 375-0124
Organization SubpartNo
Authorized OfficialBarbara SpohnOffice Manager · (814) 375-0500
Enumeration DateJanuary 9, 2015
NPI 1063801397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in 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.
90 BEAVER DR, Du Bois, PA 15801

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
90 BEAVER DR, SUITE 121D
DU BOIS, PA 15801
Psychologist (Counseling)
90 BEAVER DR, STE 117D
DU BOIS, PA 15801
Family Medicine
90 BEAVER DR, BUILDING C
DU BOIS, PA 15801
Nurse Practitioner (Adult Health)
90 BEAVER DR, SUITE 211D
DU BOIS, PA 15801
Dentist (Oral and Maxillofacial Surgery)
90 BEAVER DR
DU BOIS, PA 15801
Family Medicine
90 BEAVER DR, BUILDING C
DU BOIS, PA 15801
Specialist
90 BEAVER DR, SUITE 121D
DU BOIS, PA 15801
Psychologist (Clinical)
90 BEAVER DR, STE 117D
DU BOIS, PA 15801

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 PA Oral Facial & Implant Surgery's NPI number?

The NPI number for PA Oral Facial & Implant Surgery is 1063801397. It was assigned to this organization in the NPPES registry on January 9, 2015.

Where is PA Oral Facial & Implant Surgery located?

PA Oral Facial & Implant Surgery is located at 90 Beaver Dr Suite 101A, Du Bois, PA 15801. The listed phone number is (814) 375-0500.

What is PA Oral Facial & Implant Surgery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for PA Oral Facial & Implant Surgery was last updated on January 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.