AOSDI, GLENN J MAKOWSKI, DMD, MD, PC (NPI# 1851618847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851618847 |
| Entity Type | Organization |
| Organization Name | AOSDI, GLENN J MAKOWSKI, DMD, MD, PC |
| Practice Address |
2602 Cunningham Ave Joplin MO 64804-1542 |
| Practice Telephone | 4176232000 |
| Practice Fax Number | 4176237948 |
| Mailing Telephone | 4176232000 |
| Mailing Fax Number | 4176237948 |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2010-04-29 |
| Authorized Official Name | DR. GLENN MAKOWSKI (OWNER, ORAL MAXILLOFACIAL SURGEON) |
| Authorized Official Telephone | 4176232000 |
| Authorized Official Credential | DMD, MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204E00000X | Oral & Maxillofacial Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
2602 CUNNINGHAM AVE |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804-1542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831291442 | Frank E Schaffer | Dentist | 2602 Cunningham Ave, Joplin, MO 64804-1542 | 2006-09-03 |
| 1467693630 | Schaffer and Ditto Dds, PC | Dentist | 2602 Cunningham Ave, Joplin, MO 64804-1542 | 2009-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
| 1649838780 | Nicole Lynn Egan | Social Worker | 3010 Mcclelland, Joplin, MO 64804 | 2019-06-04 |
| 1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
| 1447732508 | Urgent Care Travel, Inc | Clinic/Center | 5931 E 32nd Street, Joplin, MO 64804 | 2018-09-05 |
| 1912488891 | Karl G. Keczkemethy | Dietitian, Registered | 100 Mercy Way Ste 570, Joplin, MO 64804 | 2018-08-28 |
| 1790207546 | Jacksie Short | Dentist | 2819 E 29th St, Joplin, MO 64804 | 2017-07-13 |
| 1326574625 | Kristine Kwon Rowland | Nurse Practitioner | 100 Mercy Way Ste 320-330, Joplin, MO 64804 | 2017-05-05 |
| 1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
| 1174070205 | Tracy L Fry | Nurse Practitioner | 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 | 2016-09-07 |
| Find all providers in zip 64804 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730222647 | Matthew W Sheffer | Oral & Maxillofacial Surgery | 5227 S Main St Ste B, Joplin, MO 64804-4938 | 2007-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609162189 | Rebecca Lindsay Grammer | Oral & Maxillofacial Surgery | 1034 S. Brentwood, Suite 1010, St. Louis, MO 63117-1210 | 2011-06-23 |
| 1659538973 | Michael J Pernoud Dds PC | Oral & Maxillofacial Surgery | 1015 Washington Sq Ste F, Washington, MO 63090-5307 | 2008-05-22 |
| 1912173592 | John O'connor Heiman | Oral & Maxillofacial Surgery | 4545 Wornall Rd, # 608, Kansas City, MO 64111-3270 | 2008-05-05 |
| 1558415075 | Roberet L Ward | Oral & Maxillofacial Surgery | 1325 N Mt Auburn Rd, Cape Giraedeau, MO 63701 | 2007-01-22 |
| 1790849834 | Edward Steven Czebrinski | Oral & Maxillofacial Surgery | 77 Westport Plaza Medical Center, Suite 356, Saint Louis, MO 63146 | 2006-12-21 |
| 1063593838 | Eugenio G Herbosa | Oral & Maxillofacial Surgery | 12818 Tesson Ferry Road, Suite 204, St Louis, MO 63128 | 2006-10-18 |
| 1912019290 | David M Ivey Dds PC | Oral & Maxillofacial Surgery | One Mid Rivers Mall Dr, Ste 310, St Peters, MO 63376-4323 | 2006-08-31 |
| 1285017806 | Marion Harris | Oral & Maxillofacial Surgery | 2301 Holmes St, Kansas City, MO 64108-2640 | 2015-06-30 |
| 1699901868 | Thaer Daifallah | Oral & Maxillofacial Surgery | 2301 Holmes St, Kansas City, MO 64108-2640 | 2009-06-02 |
| 1578777280 | Kenneth S Rotskoff | Oral & Maxillofacial Surgery | 1034 S Brentwood Blvd, Suite 1010, Saint Louis, MO 63117-1223 | 2007-05-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.