ORAL & FACIAL SURGERY CENTER PA
NPI 1891744462
Dentist - Oral and Maxillofacial Surgery in Fayetteville, AR

Active since May 09, 2006
3996 N FRONTAGE RD, FAYETTEVILLE, AR 72703(479) 582-3002(479) 582-2840 Get Directions Write a Review

NPPES record last updated: June 7, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 7, 2022, Dec 27, 2021, Sep 28, 2021 and 3 more (6 updates tracked since 2019).

About Oral & Facial Surgery Center Pa NPPES

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

ORAL & FACIAL SURGERY CENTER PA (NPI 1891744462), doing business as Maxillofacial Surgery Center, is a healthcare organization registered as an oral and maxillofacial surgery in Fayetteville, Arkansas and active in the NPI registry since May 2006. The organization maintains 2 additional practice locations and lists Scotty L Bolding, Owner, as its authorized official.

NPPES Registry Identity

NPI1891744462
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameORAL & FACIAL SURGERY CENTER PA
Location Address3996 N FRONTAGE RDFayetteville, AR 72703-5122
Mailing AddressPo Box 4185Fayetteville, AR 72702-4185 · (479) 717-1171 · Fax (479) 927-3085
Fax(479) 582-2840
Organization SubpartNo
Authorized OfficialScotty L BoldingOwner · (479) 957-4611
Enumeration DateMay 9, 2006
Last NPPES UpdateJune 7, 20226 updates tracked since enumeration
NPPES CertifiedJune 7, 2022
NPI 1891744462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X
3996 N FRONTAGE RD, Fayetteville, AR 72703

Other Names 2

Former Legal Business NameMaxillofacial Surgery Center
Doing Business AsArkansas Oral & Facial Surgery Center Pa

Secondary Practice Locations 2

Location 1520 N Pine StHarrison, AR 72601-3442 · Phone (870) 741-3877 · Fax (870) 741-2406
Location 22926 W Huntsville AveSpringdale, AR 72762-7726 · Phone (479) 582-3000 · Fax (479) 927-3085

Other Identifiers 3

Medicaid127319680AR
Medicaid230273680AR
Medicaid239128680AR

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 MULTIPLE 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.

Oral & Maxillofacial Surgery
3996 N FRONTAGE RD
FAYETTEVILLE, AR 72703
Dentist (Oral and Maxillofacial Surgery)
3996 N FRONTAGE RD
FAYETTEVILLE, AR 72703
Oral & Maxillofacial Surgery
3996 N FRONTAGE RD
FAYETTEVILLE, AR 72703

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 Oral & Facial Surgery Center PA's NPI number?

The NPI number for Oral & Facial Surgery Center PA is 1891744462. It was assigned to this organization in the NPPES registry on May 9, 2006. The provider is doing business as Arkansas Oral & Facial Surgery Center PA. The provider was formerly known as Maxillofacial Surgery Center.

Where is Oral & Facial Surgery Center PA located?

Oral & Facial Surgery Center PA is located at 3996 N Frontage Rd, Fayetteville, AR 72703. The listed phone number is (479) 582-3002.

What is Oral & Facial Surgery Center PA'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 Oral & Facial Surgery Center PA was last updated on June 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.