ORAL & MAXILLOFACIAL SURGERY ASSOCIATES PA
NPI 1356349591
Dentist - Oral and Maxillofacial Surgery in Durham, NC

Q: What is Oral & Maxillofacial Surgery Associates PA's specialty?

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

Active since July 12, 2005

2823 N DUKE ST, DURHAM, NC 27704(919) 479-0707(919) 479-5435 Get Directions Write a Review

NPPES record last updated: February 6, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Oral & Maxillofacial Surgery Associates Pa NPPES

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

ORAL & MAXILLOFACIAL SURGERY ASSOCIATES PA (NPI 1356349591) is a healthcare organization registered as an oral and maxillofacial surgery in Durham, North Carolina and active in the NPI registry since July 2005. The organization lists Becky Coley, Administrative Supervisor, as its authorized official.

NPPES Registry Identity

NPI1356349591

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameORAL & MAXILLOFACIAL SURGERY ASSOCIATES PA

Location Address2823 N DUKE STDurham, NC 27704-2621

Mailing Address2823 N Duke StDurham, NC 27704-2621 · (919) 479-0707 · Fax (919) 479-5435

Phone(919) 479-0707

Fax(919) 479-5435

Organization SubpartNo

Authorized OfficialBecky ColeyAdministrative Supervisor · (919) 479-0707

Enumeration DateJuly 12, 2005

Last NPPES UpdateFebruary 6, 2018

✔ NPI 1356349591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

Licenses✔ Licensed in NC · 5471✔ Licensed in NC · 3213✔ Licensed in NC · 4783✔ Licensed in NC · 4344✔ Licensed in NC · 9600058

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.

2823 N DUKE ST, Durham, NC 27704

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Other Identifiers 2

Other02006NC · Bcbs Group Id

Medicaid8902006NC

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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 5 clinicians reassign Medicare billing to Oral & Maxillofacial Surgery Associates PA, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

David Frost, DDS, MS

Maxillofacial Surgery

NPI 1275599300

2823 N DUKE ST
Durham, NC 27704

(919) 479-0707

✔ PECOSSame address

Debra Schardt-Sacco, DMD, MD

Maxillofacial Surgery

NPI 1487610036

2823 N DUKE ST
Durham, NC 27704

(919) 479-0707

✔ PECOS✔ Accepts MedicareSame address

Brian Vandersea, DDS

Maxillofacial Surgery

NPI 1275575029

2823 N DUKE ST
Durham, NC 27704

(919) 479-0707

✔ PECOS✔ Accepts MedicareSame address

Andrew Ruvo, DDS

Maxillofacial Surgery

NPI 1083757298

2823 N DUKE ST
Durham, NC 27704

(919) 479-0707

✔ PECOS✔ Accepts MedicareSame address

Adam Serlo, DMD, MD

Maxillofacial Surgery

NPI 1780886556

501 EASTOWNE DR SUITE 110
Chapel Hill, NC 27514

(919) 929-2196

✔ PECOS✔ Accepts Medicare8.3 mi

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 Oral & Maxillofacial Surgery Associates PA's NPI number?

The NPI number for Oral & Maxillofacial Surgery Associates PA is 1356349591. It was assigned to this organization in the NPPES registry on July 12, 2005.

Where is Oral & Maxillofacial Surgery Associates PA located?

Oral & Maxillofacial Surgery Associates PA is located at 2823 N Duke St, Durham, NC 27704. The listed phone number is (919) 479-0707.

What is Oral & Maxillofacial Surgery Associates PA's specialty?

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

Is Oral & Maxillofacial Surgery Associates PA enrolled in Medicare?

Yes. Oral & Maxillofacial Surgery Associates PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Oral & Maxillofacial Surgery Associates PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Maxillofacial Surgery, reassign their Medicare billing to Oral & Maxillofacial Surgery Associates PA. 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. Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Oral & Maxillofacial Surgery Associates PA was last updated on February 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.