APPALACHIAN ORAL SURGERY CENTER
NPI 1104359959
Dentist - Oral and Maxillofacial Surgery in Morgantown, WV

Q: What is Appalachian Oral Surgery Center's NPI number?

The NPI number for Appalachian Oral Surgery Center is 1104359959. It was assigned to this organization in the NPPES registry on April 9, 2017.

Q: What is Appalachian Oral Surgery Center's specialty?

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

Active since April 09, 2017

3433 UNIVERSITY AVE, SUITE 1, MORGANTOWN, WV 26505(304) 322-4532 Get Directions Write a Review

NPPES record last updated: April 9, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Appalachian Oral Surgery Center NPPES

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

APPALACHIAN ORAL SURGERY CENTER (NPI 1104359959) is a healthcare organization registered as an oral and maxillofacial surgery in Morgantown, West Virginia and active in the NPI registry since April 2017. The organization lists Matthew Elwood Koepke, Member, as its authorized official.

NPPES Registry Identity

NPI1104359959

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameAPPALACHIAN ORAL SURGERY CENTER

Location Address3433 UNIVERSITY AVE, SUITE 1Morgantown, WV 26505-3052

Mailing Address3433 University Ave, Suite 1Morgantown, WV 26505-3052 · (304) 322-4532

Phone(304) 322-4532

Organization SubpartNo

Authorized OfficialMatthew Elwood KoepkeMember · (304) 904-7145

Enumeration DateApril 9, 2017

✔ NPI 1104359959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in WV · 4011

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.

3433 UNIVERSITY AVE, Morgantown, WV 26505

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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

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 Appalachian Oral Surgery Center's NPI number?

The NPI number for Appalachian Oral Surgery Center is 1104359959. It was assigned to this organization in the NPPES registry on April 9, 2017.

Where is Appalachian Oral Surgery Center located?

Appalachian Oral Surgery Center is located at 3433 University Ave Suite 1, Morgantown, WV 26505. The listed phone number is (304) 322-4532.

What is Appalachian Oral Surgery Center'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 Appalachian Oral Surgery Center was last updated on April 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.