Dr Maximillian Gustav Beushausen, DMD | |
4774 Munson St Nw, Suite 102, Canton, OH 44718-3634 | |
(330) 494-6653 | |
(330) 494-6630 |
Full Name | Dr Maximillian Gustav Beushausen |
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Gender | Male |
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 4774 Munson St Nw, Canton, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1770929408 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223S0112X | Dentist - Oral And Maxillofacial Surgery | 30.024294 (Ohio) | Primary |
Entity Name | Ohios Center For Of&i Surgery Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497181036 PECOS PAC ID: 5496983918 Enrollment ID: O20140108000645 |
Mailing Address | Practice Location Address |
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Dr Maximillian Gustav Beushausen, DMD 4774 Munson St Nw, Suite 102, Canton, OH 44718-3634 Ph: (330) 494-6653 | Dr Maximillian Gustav Beushausen, DMD 4774 Munson St Nw, Suite 102, Canton, OH 44718-3634 Ph: (330) 494-6653 |
Gerard J Bruno, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4573 Everhard Rd Nw, Canton, OH 44718 Phone: 330-499-2000 Fax: 330-499-2000 | |
Dr. Bruce E Treiber, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2221 Whipple Ave Nw, Canton, OH 44708 Phone: 330-478-4949 Fax: 330-478-9490 | |
Dr. Marissa Mikolich, Dentist Medicare: Not Enrolled in Medicare Practice Location: 4100 Belden Village Mall, Canton, OH 44718 Phone: 330-494-7051 | |
Dr. Shelly L Boss, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4097 Fulton Dr Nw, Canton, OH 44718 Phone: 330-492-1730 | |
Dr. Thomas Robert Kaufholz, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 4550 Belden Village St Nw, Canton, OH 44718 Phone: 330-499-4600 Fax: 330-491-8179 | |
Lyle Eugene Mcgaughey Jr., D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5872 Fulton Rd Nw, Canton, OH 44718 Phone: 330-499-2388 Fax: 330-499-2388 | |
Dr. Kevin Sivaneri, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1320 Mercy Dr Nw, Canton, OH 44708 Phone: 330-489-1000 |