# DR ITALO DI PRISCO DDS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Greater Ohio Oral & Facial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235024720
- **Authorized official:** LESLEY COYNER (DIRECTOR OF REVENUE)
- **Authorized official phone:** (304) 720-7819

## Contact information

- **Practice address:** 5080 BRADENTON AVE, DUBLIN, OH 43017-7581
- **Practice address phone:** (304) 720-7819
- **Mailing address:** 103 STATION PLACE WAY, HURRICANE, WV 25526-8747
- **Mailing address phone:** (304) 552-7688

## 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:** 06/12/2025
- **Last updated:** 06/12/2025