BUCKEYE ORAL & MAXILLOFACIAL SURGEY
NPI 1073855193
Clinic/Center - Oral and Maxillofacial Surgery in Westerville, OH

Q: What is Buckeye Oral & Maxillofacial Surgey's NPI number?

The NPI number for Buckeye Oral & Maxillofacial Surgey is 1073855193. It was assigned to this organization in the NPPES registry on March 27, 2013. The provider was formerly known as Buckeye Oral & Maxillofacial Surgery.

Q: What is Buckeye Oral & Maxillofacial Surgey's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

Active since March 27, 2013

110 POLARIS PARKWAY, SUITE 110, WESTERVILLE, OH 43082(614) 794-9700 Get Directions Write a Review

NPPES record last updated: March 27, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Buckeye Oral & Maxillofacial Surgey NPPES

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

BUCKEYE ORAL & MAXILLOFACIAL SURGEY (NPI 1073855193), doing business as Buckeye Oral & Maxillofacial Surgery, is a healthcare organization registered as an oral and maxillofacial surgery in Westerville, Ohio and active in the NPI registry since March 2013. The organization lists Jack B Mcewan, Owner, as its authorized official.

NPPES Registry Identity

NPI1073855193

Entity TypeOrganization

Primary Taxonomy261QS0112X

Legal Business NameBUCKEYE ORAL & MAXILLOFACIAL SURGEY

Location Address110 POLARIS PARKWAY, SUITE 110Westerville, OH 43082-0000

Mailing AddressPo Box 2443Westerville, OH 43086-2443 · (614) 794-9700

Phone(614) 794-9700

Organization SubpartNo

Authorized OfficialJack B McewanOwner · (614) 794-9700

Enumeration DateMarch 27, 2013

✔ NPI 1073855193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities

Taxonomy Code261QS0112X

License✔ Licensed in OH · 30022456

Definition

An oral and maxillofacial surgery clinic or center 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.

110 POLARIS PARKWAY, Westerville, OH 43082

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Other Names 1

Former Legal Business NameBuckeye Oral & Maxillofacial Surgery

Other Identifiers 1

Medicaid2711882OH

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 Buckeye Oral & Maxillofacial Surgey's NPI number?

The NPI number for Buckeye Oral & Maxillofacial Surgey is 1073855193. It was assigned to this organization in the NPPES registry on March 27, 2013. The provider was formerly known as Buckeye Oral & Maxillofacial Surgery.

Where is Buckeye Oral & Maxillofacial Surgey located?

Buckeye Oral & Maxillofacial Surgey is located at 110 Polaris Parkway Suite 110, Westerville, OH 43082. The listed phone number is (614) 794-9700.

What is Buckeye Oral & Maxillofacial Surgey's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

When was this NPI record last updated?

The NPPES record for Buckeye Oral & Maxillofacial Surgey was last updated on March 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.