| Northeast Oral & Maxillofacial Surgeons, Inc | |
|
26300 Euclid Ave Suite 410 Euclid OH 44132-3708 | |
| (216) 261-1010 | |
| (216) 261-9442 |
| Full Name | Northeast Oral & Maxillofacial Surgeons, Inc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 26300 Euclid Ave, Euclid, Ohio |
| Authorized Official Name and Position | Donald P Lewis (PRESIDENT) |
| Authorized Official Contact | 2162611010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Oral & Maxillofacial Surgeons, Inc 26300 Euclid Ave Suite 410 Euclid OH 44132-3708 Ph: (216) 261-1010 | Northeast Oral & Maxillofacial Surgeons, Inc 26300 Euclid Ave Suite 410 Euclid OH 44132-3708 Ph: (216) 261-1010 |
| NPI Number | 1073664074 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073664074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 30-015177 (Ohio) | Primary |
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