1. Home
  2. Directory
  3. Iowa
  4. Cedar Rapids
  5. Dentist
  6. NPI Profile

EASTERN IOWA ORAL AND MAXILLOFACIAL SURGERY
NPI 1992962732
Dentist - Oral and Maxillofacial Surgery in Cedar Rapids, IA

Active since May 20, 2008
4150 EDGEWOOD ROAD NE, SUITE 100, CEDAR RAPIDS, IA 52402(319) 366-8277(319) 366-7091 Get Directions Write a Review

NPPES record last updated: December 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eastern Iowa Oral And Maxillofacial Surgery NPPES

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

EASTERN IOWA ORAL AND MAXILLOFACIAL SURGERY (NPI 1992962732) is a healthcare organization registered as an oral and maxillofacial surgery in Cedar Rapids, Iowa and active in the NPI registry since May 2008. The organization lists Suzanne J. Stewart, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1992962732
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameEASTERN IOWA ORAL AND MAXILLOFACIAL SURGERY
Location Address4150 EDGEWOOD ROAD NE, SUITE 100Cedar Rapids, IA 52402-0609
Mailing Address4150 Edgewood Road Ne, Suite 100Cedar Rapids, IA 52402-0609 · (319) 366-8277 · Fax (319) 366-7091
Phone(319) 366-8277
Fax(319) 366-7091
Organization SubpartNo
Authorized OfficialSuzanne J. StewartOffice Manager · (319) 366-8277
Enumeration DateMay 20, 2008
Last NPPES UpdateDecember 28, 2021
NPPES CertifiedDecember 28, 2021
✔ NPI 1992962732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in IA · 08986
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.
4150 EDGEWOOD ROAD NE, Cedar Rapids, IA 52402
Open in Google Maps ↗

Other Identifiers 4

Other08986IA · Benjamin L. Fuller License Number
Other1265727150IA · Jarom E. Maurer Npi
Other09173IA · Jarom E. Maurer License Number
Other1689802910IA · Benjamin L. Fuller Npi

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

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 Eastern Iowa Oral And Maxillofacial Surgery's NPI number?

The NPI number for Eastern Iowa Oral And Maxillofacial Surgery is 1992962732. It was assigned to this organization in the NPPES registry on May 20, 2008.

Where is Eastern Iowa Oral And Maxillofacial Surgery located?

Eastern Iowa Oral And Maxillofacial Surgery is located at 4150 Edgewood Road NE Suite 100, Cedar Rapids, IA 52402. The listed phone number is (319) 366-8277.

What is Eastern Iowa Oral And Maxillofacial Surgery'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 Eastern Iowa Oral And Maxillofacial Surgery was last updated on December 28, 2021. 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.