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

Q: What is Eastgate Oral Surgery And Implants's NPI number?

The NPI number for Eastgate Oral Surgery And Implants is 1689479248. It was assigned to this organization in the NPPES registry on February 18, 2025.

Q: What is Eastgate Oral Surgery And Implants's specialty?

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

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: August 16, 2026.

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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

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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

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 Eastgate Oral Surgery And Implants's NPI number?

The NPI number for Eastgate Oral Surgery And Implants is 1689479248. It was assigned to this organization in the NPPES registry on February 18, 2025.

Where is Eastgate Oral Surgery And Implants located?

Eastgate Oral Surgery And Implants is located at 4452 Eastgate Blvd Ste 107, Cincinnati, OH 45245. The listed phone number is (513) 643-3192.

What is Eastgate Oral Surgery And Implants'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 Eastgate Oral Surgery And Implants was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.