| Oral Facial Surgery Centre Of Wayne & Holmes Co Inc | |
|
208 E Milltown Rd Wooster OH 44691-1246 | |
| (330) 345-1582 | |
| (330) 345-0913 |
| Full Name | Oral Facial Surgery Centre Of Wayne & Holmes Co Inc |
|---|---|
| Speciality | Dentist |
| Location | 208 E Milltown Rd, Wooster, Ohio |
| Authorized Official Name and Position | Vincent Louis Fiorita (OWNER) |
| Authorized Official Contact | 3303451582 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Facial Surgery Centre Of Wayne & Holmes Co Inc 208 E Milltown Rd Wooster OH 44691-1246 Ph: (330) 345-1582 | Oral Facial Surgery Centre Of Wayne & Holmes Co Inc 208 E Milltown Rd Wooster OH 44691-1246 Ph: (330) 345-1582 |
| NPI Number | 1962689968 |
|---|---|
| Provider Enumeration Date | 01/22/2008 |
| Last Update Date | 05/03/2012 |
| Medicare PECOS PAC ID | 1658533799 |
|---|---|
| Medicare Enrollment ID | O20120507000363 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962689968 | NPI | - | NPPES |
| 0976207 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 18119 (Ohio) | Primary |
| Provider Name | Vincent L Fiorita |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1083731129 PECOS PAC ID: 9032267448 Enrollment ID: I20120507000415 |
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