Individual provider · Type 1 NPI
Jack B. McEwan, DDS
Oral and Maxillofacial Surgery (Dentist) · Mount Vernon, OH
NPI number
1063548022
Active
Practice location
1650 Coshocton Ave, Suite D
Mount Vernon, OH 43050-1547
Fax (740) 392-2002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 30-022456 (OH) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
About NPI 1063548022
Jack B. McEwan, DDS's National Provider Identifier is 1063548022, issued on Feb 26, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Mount Vernon, OH. The record was last updated on Dec 18, 2009.