WESTERN PENNSYLVANIA ORAL AND MAXILLOFACIAL SURGERY PC
NPI 1578767463
Dentist - Oral and Maxillofacial Surgery in Washington, PA

Active since June 13, 2007
2112 N FRANKLIN DRIVE, SUITE 2, WASHINGTON, PA 15301(724) 223-0579 Get Directions Write a Review

NPPES record last updated: December 16, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 16, 2019, Dec 13, 2019, May 30, 2017 (3 updates tracked since 2017).

About Western Pennsylvania Oral And Maxillofacial Surgery Pc NPPES

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

WESTERN PENNSYLVANIA ORAL AND MAXILLOFACIAL SURGERY PC (NPI 1578767463) is a healthcare organization registered as an oral and maxillofacial surgery in Washington, Pennsylvania and active in the NPI registry since June 2007. The organization maintains 2 additional practice locations and lists Kathleen Bentlejewski, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1578767463
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameWESTERN PENNSYLVANIA ORAL AND MAXILLOFACIAL SURGERY PC
Location Address2112 N FRANKLIN DRIVE, SUITE 2Washington, PA 15301-1530
Mailing Address2112 N Franklin Dr, Suite 2Washington, PA 15301-5892 · (724) 223-0579 · Fax (724) 223-0597
Organization SubpartNo
Authorized OfficialKathleen BentlejewskiOffice Manager · (724) 223-0579
Enumeration DateJune 13, 2007
Last NPPES UpdateDecember 16, 20193 updates tracked since enumeration
✔ NPI 1578767463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in PA · DS030642L
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 ListedAnesthesiologyTaxonomy 207L00000X · License DA031589 (PA)
2112 N FRANKLIN DRIVE, Washington, PA 15301

Secondary Practice Locations 2

Location 1125 N Franklin Dr, Suite 4Washington, PA 15301-5892 · Phone (724) 223-0579 · Fax (724) 223-0597
Location 24100 Johnson Rd Ste 203Steubenville, OH 43952-2372 · Phone (740) 264-5300 · Fax (740) 264-4548

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

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)

Western Pennsylvania Oral And Maxillofacial Surgery Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Western Pennsylvania Oral And Maxillofacial Surgery PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Dentist
NPI 1720650203
2112 N FRANKLIN DR STE 2
Washington, PA 15301
(724) 223-0579
✔ PECOS2.2 mi
Oral Surgery
NPI 1366409799
2112 N FRANKLIN DR SUITE 2
Washington, PA 15301
(724) 223-0579
✔ PECOS2.2 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 Western Pennsylvania Oral And Maxillofacial Surgery PC's NPI number?

The NPI number for Western Pennsylvania Oral And Maxillofacial Surgery PC is 1578767463. It was assigned to this organization in the NPPES registry on June 13, 2007.

Where is Western Pennsylvania Oral And Maxillofacial Surgery PC located?

Western Pennsylvania Oral And Maxillofacial Surgery PC is located at 2112 N Franklin Drive Suite 2, Washington, PA 15301. The listed phone number is (724) 223-0579.

What is Western Pennsylvania Oral And Maxillofacial Surgery PC's specialty?

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

Is Western Pennsylvania Oral And Maxillofacial Surgery PC enrolled in Medicare?

Yes. Western Pennsylvania Oral And Maxillofacial Surgery PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Western Pennsylvania Oral And Maxillofacial Surgery PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Western Pennsylvania Oral And Maxillofacial Surgery PC, in Dentist and Oral Surgery. 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Western Pennsylvania Oral And Maxillofacial Surgery PC accept?

Health plans from Anthem Blue Cross and Blue Shield, DentaQuest, DentaQuest Insurance Company Inc- OH and UnitedHealthcare list Western Pennsylvania Oral And Maxillofacial Surgery PC 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 Western Pennsylvania Oral And Maxillofacial Surgery PC was last updated on December 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.