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THE CENTER FOR ORAL AND MAXILLOFACIAL SURGERY LLC
NPI 1386763936
Dentist - Oral and Maxillofacial Surgery in Poplar Bluff, MO

Active since March 28, 2007
936 IDA ST, POPLAR BLUFF, MO 63901(573) 785-8471 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About The Center For Oral And Maxillofacial Surgery Llc NPPES

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

THE CENTER FOR ORAL AND MAXILLOFACIAL SURGERY LLC (NPI 1386763936) is a healthcare organization registered as an oral and maxillofacial surgery in Poplar Bluff, Missouri and active in the NPI registry since March 2007. The organization lists John Sheets, Oral Surgeon, as its authorized official.

NPPES Registry Identity

NPI1386763936
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameTHE CENTER FOR ORAL AND MAXILLOFACIAL SURGERY LLC
Location Address936 IDA STPoplar Bluff, MO 63901-4210
Mailing Address936 Ida StPoplar Bluff, MO 63901-4210
Phone(573) 785-8471
Organization SubpartNo
Authorized OfficialJohn SheetsOral Surgeon · (573) 785-8471
Enumeration DateMarch 28, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1386763936 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 · 12546
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.
936 IDA ST, Poplar Bluff, MO 63901
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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

Other Providers at the Same Location NPPES 2

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

EMBERSTONE THERAPY SERVICES, LLC
Social Worker (Clinical)
936 IDA ST
POPLAR BLUFF, MO 63901
Butler County (573) 429-4846
LORI LADY LCSW
Social Worker (Clinical)
936 IDA ST
POPLAR BLUFF, MO 63901
Butler County (573) 300-4597

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 The Center For Oral And Maxillofacial Surgery LLC's NPI number?

The NPI number for The Center For Oral And Maxillofacial Surgery LLC is 1386763936. It was assigned to this organization in the NPPES registry on March 28, 2007.

Where is The Center For Oral And Maxillofacial Surgery LLC located?

The Center For Oral And Maxillofacial Surgery LLC is located at 936 Ida St, Poplar Bluff, MO 63901. The listed phone number is (573) 785-8471.

What is The Center For Oral And Maxillofacial Surgery LLC'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 The Center For Oral And Maxillofacial Surgery LLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.