Individual provider · Type 1 NPI

Maximillian Gustav Beushausen, DMD

Oral and Maxillofacial Surgery (Dentist) · Canton, OH

NPI number 1770929408 Active

Practice location

4774 Munson St NW, Suite 102
Canton, OH 44718-3634

Call (330) 494-6653 Map

Fax (330) 494-6630

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X30.024294 (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.

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About NPI 1770929408

Maximillian Gustav Beushausen, DMD's National Provider Identifier is 1770929408, issued on May 21, 2013. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Canton, OH. The record was last updated on Aug 30, 2019.