GREAT LAKES JAW AND IMPLANT SURGERY CENTER
NPI 1689859589
Dentist - Oral and Maxillofacial Surgery in Willoughby, OH

Q: What is John Mascaro D M D M D And Carl Choi D D S M D Inc's specialty?

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

Active since January 09, 2008

4230 STATE ROUTE 306 STE 350, WILLOUGHBY, OH 44094(440) 946-2247(440) 946-3530 Get Directions Write a Review

NPPES record last updated: June 16, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Great Lakes Jaw And Implant Surgery Center NPPES

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

GREAT LAKES JAW AND IMPLANT SURGERY CENTER (NPI 1689859589) is a healthcare organization registered as an oral and maxillofacial surgery in Willoughby, Ohio and active in the NPI registry since January 2008. The organization lists John Mascaro, President, as its authorized official.

NPPES Registry Identity

NPI1689859589

Entity TypeOrganization

Primary Taxonomy1223S0112X

Legal Business NameJOHN MASCARO D M D M D AND CARL CHOI D D S M D INC

Location Address4230 STATE ROUTE 306 STE 350Willoughby, OH 44094-9213

Mailing Address4230 State Route 306 Ste 350Willoughby, OH 44094-9213 · (440) 946-2247 · Fax (440) 946-3530

Phone(440) 946-2247

Fax(440) 946-3530

Organization SubpartNo

Authorized OfficialJohn MascaroPresident · (440) 946-2247

Enumeration DateJanuary 9, 2008

Last NPPES UpdateJune 16, 2010

✔ NPI 1689859589 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.

4230 STATE ROUTE 306 STE 350, Willoughby, OH 44094

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Other Names 1

Doing Business AsGreat Lakes Jaw And Implant Surgery Center

Other Identifiers 1

Medicare PIN9300581OH

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 John Mascaro D M D M D And Carl Choi D D S M D Inc's NPI number?

The NPI number for John Mascaro D M D M D And Carl Choi D D S M D Inc is 1689859589. It was assigned to this organization in the NPPES registry on January 9, 2008. The provider is doing business as Great Lakes Jaw And Implant Surgery Center.

Where is John Mascaro D M D M D And Carl Choi D D S M D Inc located?

John Mascaro D M D M D And Carl Choi D D S M D Inc is located at 4230 State Route 306 Ste 350, Willoughby, OH 44094. The listed phone number is (440) 946-2247.

What is John Mascaro D M D M D And Carl Choi D D S M D 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 John Mascaro D M D M D And Carl Choi D D S M D Inc was last updated on June 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.