| North Coast Jaw Center. Llc | |
|
26777 Lorain Rd Suite 600 North Olmsted OH 44070-3200 | |
| (440) 734-3131 | |
| (440) 734-3466 |
| Full Name | North Coast Jaw Center. Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 26777 Lorain Rd, North Olmsted, Ohio |
| Authorized Official Name and Position | John R Blakemore (PRESIDENT) |
| Authorized Official Contact | 4407343131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Coast Jaw Center. Llc 26777 Lorain Rd Suite 600 North Olmsted OH 44070-3200 Ph: (440) 734-3131 | North Coast Jaw Center. Llc 26777 Lorain Rd Suite 600 North Olmsted OH 44070-3200 Ph: (440) 734-3131 |
| NPI Number | 1255492054 |
|---|---|
| Provider Enumeration Date | 12/13/2006 |
| Last Update Date | 10/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255492054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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