| Oral & Maxillofacial Surgery Of Nw Ohio Inc | |
|
725 S Shoop Ave Wauseon OH 43567-1702 | |
| (419) 335-6725 | |
| (419) 335-6728 |
| Full Name | Oral & Maxillofacial Surgery Of Nw Ohio Inc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 725 S Shoop Ave, Wauseon, Ohio |
| Authorized Official Name and Position | Scott Allan Keyes (OWNER) |
| Authorized Official Contact | 4193356725 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral & Maxillofacial Surgery Of Nw Ohio Inc 725 S Shoop Ave Wauseon OH 43567-1702 Ph: (419) 335-6725 | Oral & Maxillofacial Surgery Of Nw Ohio Inc 725 S Shoop Ave Wauseon OH 43567-1702 Ph: (419) 335-6725 |
| NPI Number | 1730194606 |
|---|---|
| Provider Enumeration Date | 07/29/2006 |
| Last Update Date | 01/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730194606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 30018468 (Ohio) | Primary |
Wauseon Dental Group L.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 229 N Franklin St, Wauseon, OH 43567 Phone: 419-337-2391 Fax: 419-335-0700 | |
Oral & Maxillofacial Surgeons Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 S Shoop Ave Ste G01, Wauseon, OH 43567 Phone: 419-517-2100 | |
Wauseon Dental Group L.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 229 N Franklin St, Wauseon, OH 43567 Phone: 419-337-2391 Fax: 419-335-0700 |