Center for Oral and Facial Surgery
NPI 1992976997ActiveOrganization· Dentist, Oral and Maxillofacial Surgery· Memphis, TN
Dentist, Oral and Maxillofacial Surgery in Memphis, Tennessee, registered in NPPES in March 2008. The authorized official on file is Jessica R. Fortner, Administrative Assisstant.
Overview
| NPI | 1992976997 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 18, 2008 |
| Last updated in NPPES | Mar 18, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Oral and Maxillofacial Surgery Primary | 1223S0112X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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