# CARNES, MONTGOMERY, COOK & HENRY, ORAL & MAX SURG, LLC

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

## Provider details

- **NPI number:** 1336166289
- **Authorized official:** MEL T GRASSETTE (INSURANCE COORDINATOR)
- **Authorized official phone:** (614) 885-3339

## Contact information

- **Practice address:** 6641 N HIGH ST, SUITE 105, WORTHINGTON, OH 43085-4038
- **Practice address phone:** (614) 885-3339
- **Practice address fax:** (614) 885-1011
- **Mailing address:** 6641 N HIGH ST, SUITE 105, WORTHINGTON, OH 43085-4038
- **Mailing address phone:** (614) 885-3339
- **Mailing address fax:** (614) 885-1011

## 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:** 07/16/2006
- **Last updated:** 03/13/2012