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CLEARFIELD ORAL FACIAL AND IMPLANT SURGERY PC
NPI 1528805579
Oral & Maxillofacial Surgery in Du Bois, PA

Active since July 09, 2024
90 BEAVER DR STE 209D, DU BOIS, PA 15801(412) 223-5880(412) 223-5883 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Clearfield Oral Facial And Implant Surgery Pc NPPES

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

CLEARFIELD ORAL FACIAL AND IMPLANT SURGERY PC (NPI 1528805579), doing business as Advanced Oral Surgery & Implant Center Of Dubois, is a healthcare organization registered as an oral & maxillofacial surgery in Du Bois, Pennsylvania and active in the NPI registry since July 2024. The organization lists Jeremy Rice, Owner, as its authorized official.

NPPES Registry Identity

NPI1528805579
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameCLEARFIELD ORAL FACIAL AND IMPLANT SURGERY PC
Location Address90 BEAVER DR STE 209DDu Bois, PA 15801-2449
Mailing Address1416 Mount Royal BlvdGlenshaw, PA 15116-2206 · (412) 223-5880 · Fax (412) 223-5883
Phone(412) 223-5880
Fax(412) 223-5883
Organization SubpartNo
Authorized OfficialJeremy RiceOwner · (412) 223-5880
Enumeration DateJuly 9, 2024
NPPES CertifiedJuly 9, 2024
✔ NPI 1528805579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
90 BEAVER DR STE 209D, Du Bois, PA 15801
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Other Names 1

Doing Business AsAdvanced Oral Surgery & Implant Center Of Dubois

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clearfield Oral Facial And Implant Surgery Pc 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 Clearfield Oral Facial And Implant Surgery PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Katherine Richardson, MS, DDS
Oral Surgery
NPI 1588125454
90 BEAVER DR STE 209D
Du Bois, PA 15801
(814) 299-5151
✔ PECOS✔ Accepts MedicareSame address

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 Clearfield Oral Facial And Implant Surgery PC's NPI number?

The NPI number for Clearfield Oral Facial And Implant Surgery PC is 1528805579. It was assigned to this organization in the NPPES registry on July 9, 2024. The provider is doing business as Advanced Oral Surgery & Implant Center of Dubois.

Where is Clearfield Oral Facial And Implant Surgery PC located?

Clearfield Oral Facial And Implant Surgery PC is located at 90 Beaver Dr Ste 209D, Du Bois, PA 15801. The listed phone number is (412) 223-5880.

What is Clearfield Oral Facial And Implant Surgery PC's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Clearfield Oral Facial And Implant Surgery PC enrolled in Medicare?

Yes. Clearfield Oral Facial And Implant Surgery PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clearfield Oral Facial And Implant Surgery PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Clearfield Oral Facial And Implant Surgery PC. 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.

When was this NPI record last updated?

The NPPES record for Clearfield Oral Facial And Implant Surgery PC was last updated on July 9, 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.