# WARREN ORAL AND FACIAL SURGERY, INC.

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

## Provider details

- **NPI number:** 1760661789
- **Authorized official:** DR. JEFFREY RICHARD MCCLAIN D.M.D., M.D. (PRESIDENT)
- **Authorized official phone:** (330) 856-7950

## Contact information

- **Practice address:** 8893 E MARKET ST, WARREN, OH 44484-2351
- **Practice address phone:** (330) 856-7950
- **Practice address fax:** (330) 856-1447
- **Mailing address:** 8893 E MARKET ST, WARREN, OH 44484-2351
- **Mailing address phone:** (330) 856-7950
- **Mailing address fax:** (330) 856-1447

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 35075926 | OH | Yes |

## Other

- **Enumeration date:** 10/25/2007
- **Last updated:** 10/25/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2114054 | — | OH |