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

Q: 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.

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: October 18, 2026.

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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

Phone(330) 493-1605

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

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Institute Of Jaw And Facial Surgery Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Institute Of Jaw And Facial Surgery Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Richard Sundheimer, D.M.D.

Maxillofacial Surgery

NPI 1609958198

4181 HOLIDAY ST NW
Canton, OH 44718

(330) 493-1605

✔ PECOSSame address

David Ash, D.M.D.

Maxillofacial Surgery

NPI 1205911864

4718 HOLIDAY ST. N.W.
Canton, OH 44718

(330) 493-1605

✔ PECOS0.1 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 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.

Is Institute Of Jaw And Facial Surgery Inc enrolled in Medicare?

Yes. Institute Of Jaw And Facial Surgery Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Institute Of Jaw And Facial Surgery Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Maxillofacial Surgery, reassign their Medicare billing to Institute Of Jaw And Facial Surgery Inc. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.