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WYOMING VALLEY ORAL SURGERY PLLC
NPI 1831962323
Oral & Maxillofacial Surgery in Kingston, PA

Active since November 06, 2023
550 3RD AVE STE 1, KINGSTON, PA 18704(570) 288-9070(570) 288-4201 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Wyoming Valley Oral Surgery Pllc NPPES

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

WYOMING VALLEY ORAL SURGERY PLLC (NPI 1831962323), doing business as Callahan And Bergey Associates, is a healthcare organization registered as an oral & maxillofacial surgery in Kingston, Pennsylvania and active in the NPI registry since November 2023. The organization lists Brian Mitchell, Owner, as its authorized official.

NPPES Registry Identity

NPI1831962323
Entity TypeOrganization
Primary Taxonomy204E00000X
Legal Business NameWYOMING VALLEY ORAL SURGERY PLLC
Location Address550 3RD AVE STE 1Kingston, PA 18704-5806
Mailing Address550 3rd Ave Ste 1Kingston, PA 18704-5806 · (570) 288-9070
Phone(570) 288-9070
Fax(570) 288-4201
Organization SubpartNo
Authorized OfficialBrian MitchellOwner · (570) 288-9070
Enumeration DateNovember 6, 2023
NPPES CertifiedNovember 6, 2023
✔ NPI 1831962323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
550 3RD AVE STE 1, Kingston, PA 18704
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Other Names 1

Doing Business AsCallahan And Bergey Associates

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)

Wyoming Valley Oral Surgery Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Wyoming Valley Oral Surgery PLLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Brian Mitchell, DDS
Oral Surgery
NPI 1619407608
550 THIRD AVENUE SUITE 1
Kingston, PA 18704
(570) 288-9070
✔ PECOS✔ Accepts MedicareSame address
Miriam Omalley, DMD
Oral Surgery
NPI 1154419042
550 3RD AVE STE 1
Kingston, PA 18704
(570) 288-9070
✔ PECOSSame address
William Bergeron, D.D.S.
Oral Surgery
NPI 1427514314
550 3RD AVE STE 1
Kingston, PA 18704
(570) 288-9070
✔ PECOS✔ Accepts MedicareSame address
David Bergey, D.D.S.01
Oral Surgery
NPI 1386618643
550 3RD AVE SUITE#1
Kingston, PA 18704
(570) 288-9070
✔ PECOSSame address

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 Wyoming Valley Oral Surgery PLLC's NPI number?

The NPI number for Wyoming Valley Oral Surgery PLLC is 1831962323. It was assigned to this organization in the NPPES registry on November 6, 2023. The provider is doing business as Callahan and Bergey Associates.

Where is Wyoming Valley Oral Surgery PLLC located?

Wyoming Valley Oral Surgery PLLC is located at 550 3rd Ave Ste 1, Kingston, PA 18704. The listed phone number is (570) 288-9070.

What is Wyoming Valley Oral Surgery PLLC's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Wyoming Valley Oral Surgery PLLC enrolled in Medicare?

Yes. Wyoming Valley Oral Surgery PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wyoming Valley Oral Surgery PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Oral Surgery, reassign their Medicare billing to Wyoming Valley Oral Surgery PLLC. 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, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wyoming Valley Oral Surgery PLLC was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.