1. Home
  2. Directory
  3. Ohio
  4. Cincinnati
  5. Dentist
  6. NPI Profile

EASTGATE ORAL SURGERY AND IMPLANTS
NPI 1689479248
Dentist - Oral and Maxillofacial Surgery in Cincinnati, OH

Active since February 18, 2025
4452 EASTGATE BLVD STE 107, CINCINNATI, OH 45245(513) 643-3192 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Eastgate Oral Surgery And Implants NPPES

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

EASTGATE ORAL SURGERY AND IMPLANTS (NPI 1689479248) is a healthcare organization registered as an oral and maxillofacial surgery in Cincinnati, Ohio and active in the NPI registry since February 2025. The organization lists Wallace S Mclaurin, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1689479248
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameEASTGATE ORAL SURGERY AND IMPLANTS
Location Address4452 EASTGATE BLVD STE 107Cincinnati, OH 45245-1584
Mailing Address4452 Eastgate Blvd Ste 107Cincinnati, OH 45245-1584 · (513) 643-3192
Phone(513) 643-3192
Organization SubpartNo
Authorized OfficialWallace S MclaurinOwner/operator · (601) 259-6739
Enumeration DateFebruary 18, 2025
NPPES CertifiedFebruary 18, 2025
✔ NPI 1689479248 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.

4452 EASTGATE BLVD STE 107, Cincinnati, OH 45245
Open in Google Maps ↗

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

Frequently Asked Questions

What is EASTGATE ORAL SURGERY AND IMPLANTS's NPI number?

The NPI number assigned to this healthcare provider is 1689479248, enumerated as an "organization" on February 18, 2025.

Where is the provider located?

The provider is located at 4452 EASTGATE BLVD STE 107 CINCINNATI, OH 45245 and the phone number is (513) 643-3192.

What is the provider's specialty?

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.