# CLE ORAL & MAXILLOFACIAL SURGERY WESTLAKE - JEFFREY W. KOSMAN, D.D.S.,

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CLE Oral & Maxillofacial Surgery Westlake
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639536840
- **Authorized official:** DR. JEFFREY W. KOSMAN D.D.S. (OWNER)
- **Authorized official phone:** (440) 934-2626

## Contact information

- **Practice address:** 28871 CENTER RIDGE RD, SUITE 104, WESTLAKE, OH 44145-5271
- **Practice address phone:** (440) 871-2201
- **Practice address fax:** (440) 871-2204
- **Mailing address:** 28871 CENTER RIDGE RD, SUITE 104, WESTLAKE, OH 44145-5271
- **Mailing address phone:** (440) 871-2201
- **Mailing address fax:** (440) 871-2204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 17516 | OH | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 30020221 | OH | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 30024394 | OH | — |

## Other

- **Enumeration date:** 01/19/2016
- **Last updated:** 01/19/2016