# EAST COLUMBUS ORAL SURGERY SPECIALISTS INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** East Columbus Oral Surgery Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831543701
- **Authorized official:** DOUGLAS VON KAENEL D.D.S. (OWNER / SURGEON)
- **Authorized official phone:** (614) 427-0400

## Contact information

- **Practice address:** 6555 E BROAD ST., COLUMBUS, OH 43213
- **Practice address phone:** (614) 427-0400
- **Practice address fax:** (614) 427-0735
- **Mailing address:** 6555 E BROAD ST., COLUMBUS, OH 43213
- **Mailing address phone:** (614) 427-0400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 30022741 | OH | Yes |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 30023253 | OH | — |

## Other

- **Enumeration date:** 04/18/2016
- **Last updated:** 04/18/2016