BUCKEYE ORAL & MAXILLOFACIAL SURGEY NPI 1073855193

NPI Information

BUCKEYE ORAL & MAXILLOFACIAL SURGEY is an oral and maxillofacial surgery clinic center in Westerville, 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. BUCKEYE ORAL & MAXILLOFACIAL SURGEY NPI is 1073855193. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Buckeye Oral & Maxillofacial Surgery.

The provider's business location address is:

110 POLARIS PARKWAY
SUITE 110
WESTERVILLE, OH
ZIP 43082-000
Phone: (614) 794-9700

The provider's authorized official is Jack B Mcewan .
The authorized official title is Owner and has the following contact phone number (614) 794-9700.

The enumeration date for this NPI number is 3/27/2013 and was last updated on 3/27/2013.

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:

Other Identifiers

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