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FACE AND JAW SURGEONS PC
NPI 1184667305
Dentist - Oral and Maxillofacial Surgery in Bismarck, ND

Active since June 14, 2006
1140 W CAPITOL AVE, BISMARCK, ND 58501(701) 258-7220(701) 222-2329 Get Directions Write a Review

NPPES record last updated: April 25, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 25, 2019, Jun 8, 2017 (2 updates tracked since 2017).

About Face And Jaw Surgeons Pc NPPES

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

FACE AND JAW SURGEONS PC (NPI 1184667305) is a healthcare organization registered as an oral and maxillofacial surgery in Bismarck, North Dakota and active in the NPI registry since June 2006. The organization lists Joseph R Deatherage, Dmd Md, as its authorized official.

NPPES Registry Identity

NPI1184667305
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameFACE AND JAW SURGEONS PC
Location Address1140 W CAPITOL AVEBismarck, ND 58501-9956
Mailing Address1730 Burnt Boat Dr Ste 300Bismarck, ND 58503-0886 · (701) 258-7220 · Fax (701) 222-2329
Phone(701) 258-7220
Fax(701) 222-2329
Organization SubpartNo
Authorized OfficialJoseph R DeatherageDmd Md · (701) 258-7220
Enumeration DateJune 14, 2006
Last NPPES UpdateApril 25, 20192 updates tracked since enumeration
✔ NPI 1184667305 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.
1140 W CAPITOL AVE, Bismarck, ND 58501
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Other Identifiers 1

Medicaid41124ND

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 Blue Cross Blue Shield of North Dakota.Insurance ›

Other Providers at the Same Location NPPES 8

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

GERARD F KOORBUSCH DDS, MBA
Dentist (Oral and Maxillofacial Surgery)
1140 W CAPITOL AVE
BISMARCK, ND 58501
Burleigh County (701) 258-7220
EMBRACE WELLNESS PLLC
Clinic/Center (Primary Care)
1140 W CAPITOL AVE
BISMARCK, ND 58501
Burleigh County (701) 751-7244
EMPOWER PHYSICAL THERAPY LLC
Physical Therapist
1140 W CAPITOL AVE
BISMARCK, ND 58501
Burleigh County (701) 400-5433
PEAKE OT MYOFASCIAL RELEASE
Occupational Therapist
1140 W CAPITOL AVE
BISMARCK, ND 58501
Burleigh County (701) 450-1900
LIVING WELL DAKOTA
Clinic/Center
1140 W CAPITOL AVE
BISMARCK, ND 58501
Burleigh County (701) 989-8251
CASSANDRA B HAIDER NP-C
Nurse Practitioner
1140 W CAPITOL AVE
BISMARCK, ND 58501
Burleigh County (701) 751-7244
MICHELLE M PEAKE OTR/L
Occupational Therapist
1140 W CAPITOL AVE
BISMARCK, ND 58501
Burleigh County (701) 450-1900
MICHELLE D MAIER NP
Nurse Practitioner (Family)
1140 W CAPITOL AVE
BISMARCK, ND 58501
Burleigh County (701) 751-7244

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 Face And Jaw Surgeons PC's NPI number?

The NPI number for Face And Jaw Surgeons PC is 1184667305. It was assigned to this organization in the NPPES registry on June 14, 2006.

Where is Face And Jaw Surgeons PC located?

Face And Jaw Surgeons PC is located at 1140 W Capitol Ave, Bismarck, ND 58501. The listed phone number is (701) 258-7220.

What is Face And Jaw Surgeons PC's specialty?

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

What insurance does Face And Jaw Surgeons PC accept?

Health plans from Blue Cross Blue Shield of North Dakota list Face And Jaw Surgeons PC 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 Face And Jaw Surgeons PC was last updated on April 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.