CENTRE ORAL & FACIAL SURGERY, P.C.
NPI 1386692184
Dentist - Oral and Maxillofacial Surgery in State College, PA

Active since May 04, 2006CLIA 39D1061488 · Waiver
474 WINDMERE DR, SUITE 202, STATE COLLEGE, PA 16801(814) 235-7700(814) 235-7633 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 18, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Centre Oral & Facial Surgery, P.c. NPPES

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

CENTRE ORAL & FACIAL SURGERY, P.C. (NPI 1386692184) is a healthcare organization registered as an oral and maxillofacial surgery in State College, Pennsylvania and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through November 19, 2026 and lists Gregory F Kewitt, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1386692184
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameCENTRE ORAL & FACIAL SURGERY, P.C.
Location Address474 WINDMERE DR, SUITE 202State College, PA 16801-7668
Mailing Address474 Windmere Dr Ste 202State College, PA 16801-7643 · (814) 235-7700 · Fax (814) 235-7633
Fax(814) 235-7633
Organization SubpartNo
Authorized OfficialGregory F KewittOwner/president · (814) 235-7700
Enumeration DateMay 4, 2006
Last NPPES UpdateApril 18, 20242 updates tracked since enumeration
NPPES CertifiedApril 18, 2024
NPI 1386692184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in PA · DS029616L
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.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License MD073230L (PA)
Also ListedPlastic Surgery · Plastic Surgery Within the Head and NeckTaxonomy 2082S0099X · License MD073230L (PA)
474 WINDMERE DR, State College, PA 16801

Other Identifiers 1

OtherKE1304618PA · Highmark Blue Shield

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D1061488

Centre Oral & Facial Surgery PC · State College, PA
Active · expires Nov 19, 2026
CLIA Number39D1061488
Laboratory TypeOther
Certificate Effective DateNovember 20, 2024
Certificate Expiration DateNovember 19, 2026
Laboratory DirectorGreg F. Kewitt MD
Laboratory Phone(814) 235-7700
Laboratory LocationCentre Oral & Facial Surgery PC474 Windmere Drive Suite 202, State College, PA 16801
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Dentist (Oral and Maxillofacial Surgery)
474 WINDMERE DR, SUITE 202
STATE COLLEGE, PA 16801
Dentist
474 WINDMERE DR, SUITE 302
STATE COLLEGE, PA 16801
Dentist
474 WINDMERE DR, SUITE 302
STATE COLLEGE, PA 16801

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 Centre Oral & Facial Surgery, P.C.'s NPI number?

The NPI number for Centre Oral & Facial Surgery, P.C. is 1386692184. It was assigned to this organization in the NPPES registry on May 4, 2006.

Where is Centre Oral & Facial Surgery, P.C. located?

Centre Oral & Facial Surgery, P.C. is located at 474 Windmere Dr Suite 202, State College, PA 16801. The listed phone number is (814) 235-7700.

What is Centre Oral & Facial Surgery, P.C.'s specialty?

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

Does Centre Oral & Facial Surgery, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D1061488) is associated with this NPI, valid through November 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Centre Oral & Facial Surgery, P.C. was last updated on April 18, 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.