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823 N Columbus St Lancaster OH 43130-2549 | |
| (740) 654-6628 | |
| (740) 654-6578 |
| Full Name | |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 823 N Columbus St, Lancaster, Ohio |
| Authorized Official Name and Position | Gregory Charles Michaels (PRESIDENT) |
| Authorized Official Contact | 7406546628 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
823 N Columbus St Lancaster OH 43130-2549 Ph: (740) 654-6628 | 823 N Columbus St Lancaster OH 43130-2549 Ph: (740) 654-6628 |
| NPI Number | 1497269492 |
|---|---|
| Provider Enumeration Date | 11/29/2017 |
| Last Update Date | 11/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497269492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 30019438 (Ohio) | Primary |
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