# SOUTHERN OHIO ORAL & FACIAL SURGEONS, INC.

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

## Provider details

- **NPI number:** 1194920322
- **Authorized official:** DR. RICHARD J SCHOONMAKER DMD (CEO)
- **Authorized official phone:** (740) 773-6159

## Contact information

- **Practice address:** 36 N WALNUT ST, CHILLICOTHE, OH 45601-3114
- **Practice address phone:** (740) 773-6159
- **Practice address fax:** (740) 773-1078
- **Mailing address:** 36 N WALNUT ST, CHILLICOTHE, OH 45601-3114
- **Mailing address phone:** (740) 773-6159
- **Mailing address fax:** (740) 773-1078

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 30019719 | OH | Yes |

## Other

- **Enumeration date:** 06/18/2007
- **Last updated:** 08/22/2020