Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eastgate Oral Surgery and Implants

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1689479248

Eastgate Oral Surgery and Implants is an Oral and Maxillofacial Surgery (Dentist) in Cincinnati, Ohio. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4452 Eastgate Blvd Ste 107
Cincinnati, OH 45245-1584
Phone: (513) 643-3192
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1689479248
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wallace McLaurin — Owner/Operator · (601) 259-6739
NPI enumeratedFebruary 18, 2025
Last updated in NPPESFebruary 18, 2025
Certification dateFebruary 18, 2025
Mailing address4452 Eastgate Blvd Ste 107, Cincinnati, OH 45245-1584

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