# NORTHEAST ORAL AND MAXILLOFACIAL SURGERY

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

## Provider details

- **NPI number:** 1841928934
- **Authorized official:** DR. CHINTAN I PATEL DDS (OWNER)
- **Authorized official phone:** (614) 471-6600

## Contact information

- **Practice address:** 463 WATERBURY CT STE A, GAHANNA, OH 43230-5311
- **Practice address phone:** (614) 471-6600
- **Practice address fax:** (614) 471-6660
- **Mailing address:** 7257 GOLDENROD CT, POWELL, OH 43065-8977
- **Mailing address phone:** (443) 987-2156
- **Mailing address fax:** (614) 471-6660

## Taxonomy

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

## Other

- **Enumeration date:** 08/08/2022
- **Last updated:** 08/08/2022