MUSKINGUM VALLEY ORAL SURGERY INC. NPI 1013450014

NPI Information

  • NPI: 1013450014
  • Provider Name: MUSKINGUM VALLEY ORAL SURGERY, INC.
  • Classification: Clinic/Center - 261QS0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Organization
  • Address: 510 ARENDS RIDGE RD
    MARIETTA, OH
    ZIP 45750
  • Phone: (740) 236-9392

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NPI Details

MUSKINGUM VALLEY ORAL SURGERY, INC. is an oral and maxillofacial surgery clinic center in Marietta, OH. The provider is an oral and maxillofacial surgery clinic or center 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. MUSKINGUM VALLEY ORAL SURGERY, INC. NPI is 1013450014. The provider is registered as an organization entity type.

The provider's business location address is:

510 ARENDS RIDGE RD
MARIETTA, OH
ZIP 45750-332
Phone: (740) 236-9392
Fax: (740) 439-0894

The provider's authorized official is Jeffery S Lee .
The authorized official title is Owner and has the following contact phone number (740) 432-8768.

The enumeration date for this NPI number is 11/22/2016 and was last updated on 9/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS0112XClinic/CenterOral and Maxillofacial Surgery30.021802OHIOYes

What is NPI?

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This page was last updated on: 3/30/2025

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