| Oral Surgery Inc. | |
|
141 Brady Cir W Steubenville OH 43952-1411 | |
| (740) 282-5100 | |
| (740) 282-1700 |
| Full Name | Oral Surgery Inc. |
|---|---|
| Speciality | Dentist |
| Location | 141 Brady Cir W, Steubenville, Ohio |
| Authorized Official Name and Position | Gary T Patterson (PRESIDENT) |
| Authorized Official Contact | 7402825100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgery Inc. 141 Brady Cir W Steubenville OH 43952-1411 Ph: (740) 282-5100 | Oral Surgery Inc. 141 Brady Cir W Steubenville OH 43952-1411 Ph: (740) 282-5100 |
| NPI Number | 1811027352 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0042264418 |
|---|---|
| Medicare Enrollment ID | O20050309000061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811027352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 19940 (Ohio) | Primary |
| Provider Name | Gary Thomas Patterson |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1669571535 PECOS PAC ID: 8729032107 Enrollment ID: I20050310000071 |
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