| Oral And Facial Surgeons Of Ohio | |
|
5155 Bradenton Ave Suite 100 Dublin OH 43017-7558 | |
| (614) 764-9455 | |
| (614) 526-3745 |
| Full Name | Oral And Facial Surgeons Of Ohio |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 5155 Bradenton Ave, Dublin, Ohio |
| Authorized Official Name and Position | James P. Ellis (VICE PRESIDENT) |
| Authorized Official Contact | 6147649455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral And Facial Surgeons Of Ohio 5155 Bradenton Ave Suite 100 Dublin OH 43017-7558 Ph: (614) 764-9455 | Oral And Facial Surgeons Of Ohio 5155 Bradenton Ave Suite 100 Dublin OH 43017-7558 Ph: (614) 764-9455 |
| NPI Number | 1043427883 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043427883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 30016487 (Ohio) | Primary |
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