Summit Oral Surgery Center LLC
NPI 1114868957 · Oral and Maxillofacial Surgery (Dentist) · Independence, MO
Summit Oral Surgery Center LLC is a Oral and Maxillofacial Surgery (Dentist) organization in Independence, MO (NPI 1114868957).
Provider details
- NPI number
- 1114868957
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Michael Lee, Administrator(313) 600-2188
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-04-04
- Last updated
- 2026-04-04
- Certified
- 2026-04-04
Frequently asked questions
- What is Summit Oral Surgery Center LLC's NPI number?
- Summit Oral Surgery Center LLC's National Provider Identifier (NPI) is 1114868957, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Summit Oral Surgery Center LLC?
- Summit Oral Surgery Center LLC is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Summit Oral Surgery Center LLC located?
- Summit Oral Surgery Center LLC's practice location on file with NPPES is 19921 E Jackson Dr, Independence, MO 64057-1596.
- What is Summit Oral Surgery Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Summit Oral Surgery Center LLC is (313) 600-2188.
- Who is the authorized official for Summit Oral Surgery Center LLC?
- The authorized official listed on Summit Oral Surgery Center LLC's NPPES record is Michael Lee, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Summit Oral Surgery Center LLC's NPI active?
- Yes — Summit Oral Surgery Center LLC's NPI (1114868957) is active in the NPPES registry as of the last update on 2026-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.