SOUTHEAST MISSOURI ORAL & MAXILLOFACIAL SURGERY
NPI 1114217585
Dentist - Oral and Maxillofacial Surgery in Cape Girardeau, MO

Q: What is Southeast Missouri Oral & Maxillofacial Surgery's specialty?

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

Active since April 19, 2011

66 DOCTORS PARK, CAPE GIRARDEAU, MO 63703(573) 334-5566(573) 334-9004 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Southeast Missouri Oral & Maxillofacial Surgery NPPES

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

SOUTHEAST MISSOURI ORAL & MAXILLOFACIAL SURGERY (NPI 1114217585) is a healthcare organization registered as an oral and maxillofacial surgery in Cape Girardeau, Missouri and active in the NPI registry since April 2011. The organization lists Steve Schoolman, Owner, as its authorized official.

NPPES Registry Identity

NPI1114217585

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameSOUTHEAST MISSOURI ORAL & MAXILLOFACIAL SURGERY

Location Address66 DOCTORS PARKCape Girardeau, MO 63703-4928

Mailing Address66 Doctors ParkCape Girardeau, MO 63703-4928 · (573) 334-5566 · Fax (573) 334-9004

Phone(573) 334-5566

Fax(573) 334-9004

Organization SubpartNo

Authorized OfficialSteve SchoolmanOwner · (573) 334-5566

Enumeration DateApril 19, 2011

Last NPPES UpdateApril 10, 2024

NPPES CertifiedApril 10, 2024

✔ NPI 1114217585 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 MO · 2003012137

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.

66 DOCTORS PARK, Cape Girardeau, MO 63703

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southeast Missouri Oral & Maxillofacial Surgery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southeast Missouri Oral & Maxillofacial Surgery, which bills Medicare for the services this clinician delivers.

Clinician (1)

Steven Schoolman, DDS

Maxillofacial Surgery

NPI 1093862997

66 DOCTORS PARK
Cape Girardeau, MO 63703

(573) 334-5566

✔ PECOSSame address

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 Southeast Missouri Oral & Maxillofacial Surgery's NPI number?

The NPI number for Southeast Missouri Oral & Maxillofacial Surgery is 1114217585. It was assigned to this organization in the NPPES registry on April 19, 2011.

Where is Southeast Missouri Oral & Maxillofacial Surgery located?

Southeast Missouri Oral & Maxillofacial Surgery is located at 66 Doctors Park, Cape Girardeau, MO 63703. The listed phone number is (573) 334-5566.

What is Southeast Missouri Oral & Maxillofacial Surgery's specialty?

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

Is Southeast Missouri Oral & Maxillofacial Surgery enrolled in Medicare?

Yes. Southeast Missouri Oral & Maxillofacial Surgery is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeast Missouri Oral & Maxillofacial Surgery?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Maxillofacial Surgery) reassigns their Medicare billing to Southeast Missouri Oral & Maxillofacial Surgery. 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 Southeast Missouri Oral & Maxillofacial Surgery accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Southeast Missouri Oral & Maxillofacial Surgery 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 Southeast Missouri Oral & Maxillofacial Surgery was last updated on April 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.