# INSTITUTE OF JAW AND FACIAL SURGERY INC

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

## Provider details

- **NPI number:** 1689647018
- **Authorized official:** DR. RICHARD N SUNDHEIMER D.M.D. (PRESIDENT)
- **Authorized official phone:** (330) 493-1605

## Contact information

- **Practice address:** 4181 HOLIDAY ST NW, CANTON, OH 44718-2531
- **Practice address phone:** (330) 493-1605
- **Practice address fax:** (330) 493-9308
- **Mailing address:** 4181 HOLIDAY ST NW, CANTON, OH 44718-2531
- **Mailing address phone:** (330) 493-1605
- **Mailing address fax:** (330) 493-9308

## 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:** 02/08/2006
- **Last updated:** 04/18/2012