Northeast Oral and Maxillofacial Surgery
NPI 1790860153 · Oral and Maxillofacial Surgery (Dentist) · Gahanna, OH
Northeast Oral and Maxillofacial Surgery is a Oral and Maxillofacial Surgery (Dentist) organization in Gahanna, OH (NPI 1790860153).
Provider details
- NPI number
- 1790860153
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Bruce Fraser, Owner(614) 471-6600
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES 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
- 2006-10-26
- Last updated
- 2020-08-22
Frequently asked questions
- What is Northeast Oral and Maxillofacial Surgery's NPI number?
- Northeast Oral and Maxillofacial Surgery's National Provider Identifier (NPI) is 1790860153, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Northeast Oral and Maxillofacial Surgery?
- Northeast Oral and Maxillofacial Surgery is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Northeast Oral and Maxillofacial Surgery located?
- Northeast Oral and Maxillofacial Surgery's practice location on file with NPPES is 463 Waterbury Court, Gahanna, OH 43230.
- What is Northeast Oral and Maxillofacial Surgery's phone number?
- The practice phone number listed in the NPPES registry for Northeast Oral and Maxillofacial Surgery is (614) 471-6600.
- Who is the authorized official for Northeast Oral and Maxillofacial Surgery?
- The authorized official listed on Northeast Oral and Maxillofacial Surgery's NPPES record is Bruce Fraser, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Northeast Oral and Maxillofacial Surgery's NPI active?
- Yes — Northeast Oral and Maxillofacial Surgery's NPI (1790860153) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.