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Organization
ORAL AND FACIAL SURGEONS OF OHIO
Active
Organization
ORAL AND FACIAL SURGEONS OF OHIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES P. ELLIS DDS, MS (VICE PRESIDENT)
(614) 764-9455
Entity
Organization
Contact information
Practice address
5155 BRADENTON AVE, SUITE 100, DUBLIN, OH 43017-7558
(614) 764-9455
(614) 526-3745
Mailing address
5155 BRADENTON AVE, SUITE 100, DUBLIN, OH 43017-7558
(614) 764-9455
(614) 526-3745
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30016487
OH
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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