NPI: 1609916667
Provider Name: NORTH COAST ORAL & MAXILLOFACIAL SURGERY, INC.
Former Legal Business Name: MARIANNE L. COBURN, D.D.S., TERENCE P. KELLY, D.D.S., & JOHN HELMKAMP,
Classification: Dentist - 1223S0112X
Entity Type: Organization
Specialization: Oral and Maxillofacial Surgery
Address:
2500 W. STRUB RD.
NOMS PROFESSIONAL BLDG. #1
SANDUSKY, OH
ZIP 44870
Phone: (419) 627-8131
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NORTH COAST ORAL & MAXILLOFACIAL SURGERY, INC. is an oral and maxillofacial surgery dentist in Sandusky, OH. The provider is an oral and maxillofacial surgery dentist specialized in 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. NORTH COAST ORAL & MAXILLOFACIAL SURGERY, INC. NPI is 1609916667. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Marianne L. Coburn, D.d.s., Terence P. Kelly, D.d.s., & John Helmkamp,.
The provider's business location address is:
2500 W. STRUB RD.
NOMS PROFESSIONAL BLDG. #1
SANDUSKY, OH
ZIP 44870
Phone: (419) 627-8131
Fax: (419) 621-1773
The provider's authorized official is Terence Patrick Kelly .
The authorized official title is President and has the following contact phone number (419) 627-8131.
The enumeration date for this NPI number is 2/7/2007 and was last updated on 2/2/2011.