| Oral Surgery Associates Of Lima | |
|
830 W High St Suite 301 Lima OH 45801-3971 | |
| (419) 227-5155 | |
| (419) 227-4370 |
| Full Name | Oral Surgery Associates Of Lima |
|---|---|
| Speciality | Dentist |
| Location | 830 W High St, Lima, Ohio |
| Authorized Official Name and Position | Patrick Allan Chaney (OWNER) |
| Authorized Official Contact | 4192275155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgery Associates Of Lima 830 W High St Suite 301 Lima OH 45801-3971 Ph: (419) 227-5155 | Oral Surgery Associates Of Lima 830 W High St Suite 301 Lima OH 45801-3971 Ph: (419) 227-5155 |
| NPI Number | 1992716385 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8022021518 |
|---|---|
| Medicare Enrollment ID | O20060731000206 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992716385 | NPI | - | NPPES |
| 0222806 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 30017635 (Ohio) | Primary |
| Provider Name | Patrick A Chaney |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1992733174 PECOS PAC ID: 9830102326 Enrollment ID: I20120509000601 |
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