| Institute Of Jaw And Facial Surgery Inc | |
|
4181 Holiday St Nw Canton OH 44718-2531 | |
| (330) 493-1605 | |
| (330) 493-9308 |
| Full Name | Institute Of Jaw And Facial Surgery Inc |
|---|---|
| Speciality | Dentist |
| Location | 4181 Holiday St Nw, Canton, Ohio |
| Authorized Official Name and Position | Richard N Sundheimer (PRESIDENT) |
| Authorized Official Contact | 3304931605 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Institute Of Jaw And Facial Surgery Inc 4181 Holiday St Nw Canton OH 44718-2531 Ph: (330) 493-1605 | Institute Of Jaw And Facial Surgery Inc 4181 Holiday St Nw Canton OH 44718-2531 Ph: (330) 493-1605 |
| NPI Number | 1689647018 |
|---|---|
| Provider Enumeration Date | 02/08/2006 |
| Last Update Date | 04/18/2012 |
| Medicare PECOS PAC ID | 3274794326 |
|---|---|
| Medicare Enrollment ID | O20120417000188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689647018 | NPI | - | NPPES |
| 0524534 | Medicaid | OH | |
| 0733255 | Medicaid | OH | |
| 0600433 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | David C Ash |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1205911864 PECOS PAC ID: 8729249537 Enrollment ID: I20120501000227 |
| Provider Name | Richard N Sundheimer |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1609958198 PECOS PAC ID: 6901067701 Enrollment ID: I20120511000523 |
Peter G Michalos Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4368 Dressler Rd Nw, Suite 203, Canton, OH 44718 Phone: 330-492-0134 Fax: 330-492-0410 | |
St. Paul Dental Service Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1459 Superior Ave Ne, Canton, OH 44705 Phone: 330-588-4893 Fax: 330-453-2793 | |
Canton Pediatric Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3934 Everhard Rd Nw, Canton, OH 44709 Phone: 330-994-0205 Fax: 330-994-0207 | |
Ashley Gibbs Zerweck Dmd Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4124 Fulton Dr Nw Ste 102, Canton, OH 44718 Phone: 330-493-4700 Fax: 330-493-8529 | |
Dr Jeremy K Troxler Dmd Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2205 Tuscarawas St E, Canton, OH 44707 Phone: 330-453-7299 Fax: 330-453-7282 | |
Dr. J. L. Danner, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4385 Everhard Rd Nw, Canton, OH 44718 Phone: 330-494-6016 | |
Brian Ash Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4425 Fulton Dr Nw, Canton, OH 44718 Phone: 330-494-8508 |