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AFFILIATED ORAL SURGEONS NPI 1114001997


NPI Information

NPI: 1114001997
Provider Name: AFFILIATED ORAL SURGEONS
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
505 N CABLE RD
LIMA, OH
ZIP 45805
Phone: (419) 331-0000
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AFFILIATED ORAL SURGEONS is an oral and maxillofacial surgery dentist in Lima, 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. AFFILIATED ORAL SURGEONS NPI is 1114001997. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

505 N CABLE RD
LIMA, OH
ZIP 45805-132
Phone: (419) 331-0000

The provider's authorized official is Bryan A Luna .
The authorized official title is Owner and has the following contact phone number (419) 331-0000.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 4/4/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery30020543OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1T71057MEDICARE UPINOHIO
25934810001MEDICARE NSCOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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