WACO CENTER FOR ORAL & MAXILLOFACIAL SURGERY PLLC
NPI 1518664200
Dentist - Oral and Maxillofacial Surgery in Waco, TX

Active since February 13, 2023
7030 NEW SANGER AVE STE 100, WACO, TX 76712(254) 265-9636 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 9, 2025, Feb 13, 2023 (2 updates tracked since 2023).

About Waco Center For Oral & Maxillofacial Surgery Pllc NPPES

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

WACO CENTER FOR ORAL & MAXILLOFACIAL SURGERY PLLC (NPI 1518664200) is a healthcare organization registered as an oral and maxillofacial surgery in Waco, Texas and active in the NPI registry since February 2023. The organization lists Larry Cunningham, Owner/dds, Md, Facs, as its authorized official.

NPPES Registry Identity

NPI1518664200
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameWACO CENTER FOR ORAL & MAXILLOFACIAL SURGERY PLLC
Location Address7030 NEW SANGER AVE STE 100Waco, TX 76712-4073
Mailing Address500 E John Carpenter Fwy Ste 300Irving, TX 75062-3969
Organization SubpartNo
Authorized OfficialLarry CunninghamOwner/dds, Md, Facs · (254) 265-9636
Enumeration DateFebruary 13, 2023
Last NPPES UpdateApril 9, 20252 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1518664200 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.
7030 NEW SANGER AVE STE 100, Waco, TX 76712

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Waco Center For Oral & Maxillofacial Surgery Pllc 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 Waco Center For Oral & Maxillofacial Surgery PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Oral Surgery
NPI 1508966961
3501 TERRACE STREET SUITE 3189
Pitsburgh, PA 15213
(412) 648-9100
✔ PECOS✔ Accepts Medicare1,142 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 Waco Center For Oral & Maxillofacial Surgery PLLC's NPI number?

The NPI number for Waco Center For Oral & Maxillofacial Surgery PLLC is 1518664200. It was assigned to this organization in the NPPES registry on February 13, 2023.

Where is Waco Center For Oral & Maxillofacial Surgery PLLC located?

Waco Center For Oral & Maxillofacial Surgery PLLC is located at 7030 New Sanger Ave Ste 100, Waco, TX 76712. The listed phone number is (254) 265-9636.

What is Waco Center For Oral & Maxillofacial Surgery PLLC's specialty?

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

Is Waco Center For Oral & Maxillofacial Surgery PLLC enrolled in Medicare?

Yes. Waco Center For Oral & Maxillofacial Surgery PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Waco Center For Oral & Maxillofacial Surgery PLLC?

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

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list Waco Center For Oral & Maxillofacial Surgery PLLC 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 Waco Center For Oral & Maxillofacial Surgery PLLC was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.