# AKRON HIGHLAND SQUARE ORAL MAXILLOFACIAL SURGERY ASSOC..

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

## Provider details

- **NPI number:** 1225141948
- **Authorized official:** DR. JOHN SELBY BROKLOFF D.D.S. (OWNER)
- **Authorized official phone:** (330) 668-1001

## Contact information

- **Practice address:** 3500 W. MARKET ST., AKRON, OH 44333
- **Practice address phone:** (330) 668-1001
- **Practice address fax:** (330) 668-9225
- **Mailing address:** 4721 BARNSLEIGH, AKRON, OH 44333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 20982 | OH | Yes |

## Other

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