Organization · Type 2 NPI
Northeast Oral and Maxillofacial Surgery
Oral and Maxillofacial Surgery (Dentist) · Gahanna, OH
NPI number
1790860153
Active
Practice location
463 Waterbury Court, Suite A
Gahanna, OH 43230
Fax (614) 471-6660
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | None listed |
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 1790860153
Northeast Oral and Maxillofacial Surgery's National Provider Identifier is 1790860153, issued on Oct 26, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Gahanna, OH. The record was last updated on Aug 22, 2020.