# GREGORY C. MICHAELS D.D.S., M.S. ORAL & MAXILLOFACIAL SURGERY,INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Michaels Oral Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497269492
- **Authorized official:** GREGORY CHARLES MICHAELS DDS (PRESIDENT)
- **Authorized official phone:** (740) 654-6628

## Contact information

- **Practice address:** 823 N COLUMBUS ST, LANCASTER, OH 43130-2549
- **Practice address phone:** (740) 654-6628
- **Practice address fax:** (740) 654-6578
- **Mailing address:** 823 N COLUMBUS ST, LANCASTER, OH 43130-2549
- **Mailing address phone:** (740) 654-6628
- **Mailing address fax:** (740) 654-6578

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 30019438 | OH | Yes |

## Other

- **Enumeration date:** 11/29/2017
- **Last updated:** 11/29/2017