# NORTHEAST ORAL & MAXILLOFACIAL SURGEONS, INC

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

## Provider details

- **NPI number:** 1073664074
- **Authorized official:** DR. DONALD P LEWIS JR. DDS (PRESIDENT)
- **Authorized official phone:** (216) 261-1010

## Contact information

- **Practice address:** 26300 EUCLID AVE, SUITE 410, EUCLID, OH 44132-3708
- **Practice address phone:** (216) 261-1010
- **Practice address fax:** (216) 261-9442
- **Mailing address:** 26300 EUCLID AVE, SUITE 410, EUCLID, OH 44132-3708
- **Mailing address phone:** (216) 261-1010
- **Mailing address fax:** (216) 261-9442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 30-015177 | OH | Yes |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 08/22/2020