# ORAL & MAXILLOFACIAL SURGERY CENTERS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043254246
- **Authorized official:** MR. CHAD WALTERS (SENIOR VICE PRESIDENT)
- **Authorized official phone:** (740) 477-8544

## Contact information

- **Practice address:** 24561 ST RT 23 SOUTH, CIRCLEVILLE, OH 43113
- **Practice address phone:** (740) 477-8544
- **Practice address fax:** (740) 477-6124
- **Mailing address:** 24561 ST RT 23 SOUTH, CIRCLEVILLE, OH 43113
- **Mailing address phone:** (740) 477-8544
- **Mailing address fax:** (740) 477-6124

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 06/16/2006
- **Last updated:** 08/22/2020