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Oral & Maxillofacial Surgery Associates PC

Oral and Maxillofacial Surgery (Dentist) in Fort Wayne, IN · enumerated 2006 · authorized official Celeste Sholl, Credentialing Coordinator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1831264324

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Registry record

Entity type Organization (Type 2)
Legal business name Oral & Maxillofacial Surgery Associates PC
Practice address 7845 Carnegie Blvd, Fort Wayne, IN, 46804
Phone (260) 969-4105
Fax (260) 969-4118
Enumeration date Nov 21, 2006
Last updated in NPPES Aug 18, 2025

Taxonomy & classification

1223S0112X Oral and Maxillofacial Surgery (Dentist) Dental Providers Primary
204E00000X Oral & Maxillofacial Surgery (D.M.D.) Allopathic & Osteopathic Physicians Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Celeste Sholl
Title Credentialing Coordinator
Phone (260) 969-4113

Other identifiers

Identifier Type State Issuer
200029030 Medicaid IN -
6185590001 Other IN DME MAC
6185590001 Other IN NGS DME MAC

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Oral & Maxillofacial Surgery Associates PC?
The NPI for Oral & Maxillofacial Surgery Associates PC is 1831264324, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Oral & Maxillofacial Surgery Associates PC?
NPPES lists Celeste Sholl (Credentialing Coordinator) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-08-18.