| Cincinnati Oral & Maxillofacial Surgery Assoc., Inc. | |
|
7803 5 Mile Rd Cincinnati OH 45230-2347 | |
| (513) 624-0055 | |
| Not Available |
| Full Name | Cincinnati Oral & Maxillofacial Surgery Assoc., Inc. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 7803 5 Mile Rd, Cincinnati, Ohio |
| Authorized Official Name and Position | James P Cassidy (PRESIDENT) |
| Authorized Official Contact | 5136240055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cincinnati Oral & Maxillofacial Surgery Assoc., Inc. 7141 Miami Ave 202 Cincinnati OH 45243-2616 Ph: () - | Cincinnati Oral & Maxillofacial Surgery Assoc., Inc. 7803 5 Mile Rd Cincinnati OH 45230-2347 Ph: (513) 624-0055 |
| NPI Number | 1861685968 |
|---|---|
| Provider Enumeration Date | 08/22/2007 |
| Last Update Date | 08/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861685968 | NPI | - | NPPES |
| U33502 | Other | OH | UPIN |
| CI9928971 | Other | OH | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 30017898 (Ohio) | Primary |
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