FACIAL SURGERY CENTER I - NPI 1861400756 - Oral & Maxillofacial Surgery in Charleston, WV

Q: What is Integrated Health Care Providers, Inc.'s specialty?

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

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About Facial Surgery Center I NPPES

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

FACIAL SURGERY CENTER I (NPI 1861400756) is a healthcare organization registered as an oral & maxillofacial surgery in Charleston, West Virginia and active in the NPI registry since August 2006. The organization lists Jeff Goode, President, as its authorized official.

NPPES Registry Identity

NPI1861400756

Entity TypeOrganization

Primary Taxonomy204E00000X

Legal Business NameINTEGRATED HEALTH CARE PROVIDERS, INC.

Location Address415 MORRIS ST STE 309Charleston, WV 25301-1853

Mailing Address415 Morris St Ste 304Charleston, WV 25301-1853 · (304) 388-7783

Phone(304) 388-3290

Fax(304) 388-3186

Organization SubpartNo

Authorized OfficialJeff GoodePresident · (304) 388-7783

Enumeration DateAugust 4, 2006

Last NPPES UpdateNovember 15, 2007

✔ NPI 1861400756 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.

415 MORRIS ST STE 309, Charleston, WV 25301

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Other Names 1

Doing Business AsFacial Surgery Center I

Other Identifiers 2

Medicare PININ9286133

Medicaid3810006522WV

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

DR. DAVID PAUL WISE MD, DDS

Oral & Maxillofacial Surgery