INSTITUTE OF JAW AND FACIAL SURGERY INC
NPI 1689647018
Dentist - Oral and Maxillofacial Surgery in Canton, OH

Active since February 08, 2006
4181 HOLIDAY ST NW, CANTON, OH 44718(330) 493-1605(330) 493-9308 Get Directions Write a Review

NPPES record last updated: April 18, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Institute Of Jaw And Facial Surgery Inc NPPES

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

INSTITUTE OF JAW AND FACIAL SURGERY INC (NPI 1689647018) is a healthcare organization registered as an oral and maxillofacial surgery in Canton, Ohio and active in the NPI registry since February 2006. The organization lists Richard N Sundheimer, President, as its authorized official.

NPPES Registry Identity

NPI1689647018
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameINSTITUTE OF JAW AND FACIAL SURGERY INC
Location Address4181 HOLIDAY ST NWCanton, OH 44718-2531
Mailing Address4181 Holiday St NwCanton, OH 44718-2531 · (330) 493-1605 · Fax (330) 493-9308
Fax(330) 493-9308
Organization SubpartNo
Authorized OfficialRichard N SundheimerPresident · (330) 493-1605
Enumeration DateFebruary 8, 2006
Last NPPES UpdateApril 18, 2012
NPI 1689647018 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.
4181 HOLIDAY ST NW, Canton, OH 44718

Other Identifiers 8

Medicare UPINU19505OH
Medicaid0733255OH
Medicare UPINT48532OH
Medicaid0600433OH
Medicare PIN9279132OH
Medicare PIN9279131OH
Medicare UPINT47925OH
Medicaid0524534OH

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
4181 HOLIDAY ST NW
CANTON, OH 44718
Dentist (Oral and Maxillofacial Surgery)
4181 HOLIDAY ST NW
CANTON, OH 44718
Physical Therapist
4181 HOLIDAY ST NW
CANTON, OH 44718

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 Institute Of Jaw And Facial Surgery Inc's NPI number?

The NPI number for Institute Of Jaw And Facial Surgery Inc is 1689647018. It was assigned to this organization in the NPPES registry on February 8, 2006.

Where is Institute Of Jaw And Facial Surgery Inc located?

Institute Of Jaw And Facial Surgery Inc is located at 4181 Holiday St NW, Canton, OH 44718. The listed phone number is (330) 493-1605.

What is Institute Of Jaw And Facial Surgery Inc'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 Institute Of Jaw And Facial Surgery Inc was last updated on April 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.