# CINCINNATI ORAL & MAXILLOFACIAL SURGERY ASSOC INC

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

## Provider details

- **NPI number:** 1417032889
- **Authorized official:** DR. JAMES P CASSIDY DDS (PRESIDENT)
- **Authorized official phone:** (513) 271-5900

## Contact information

- **Practice address:** 7140 MIAMI AVE, \#202, CINCINNATI, OH 45243
- **Practice address phone:** (513) 271-5900
- **Practice address fax:** (513) 271-5911
- **Mailing address:** 7140 MIAMI AVE, CINCINNATI, OH 45243
- **Mailing address phone:** (513) 271-5900
- **Mailing address fax:** (513) 271-5911

## 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:** 10/26/2006
- **Last updated:** 08/22/2020
