# CINCINNATI ORAL & MAXILLOFACIAL SURGERY ASSOC., INC.

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

## Provider details

- **NPI number:** 1861685968
- **Authorized official:** DR. JAMES P CASSIDY DDS (PRESIDENT)
- **Authorized official phone:** (513) 624-0055

## Contact information

- **Practice address:** 7803 5 MILE RD, CINCINNATI, OH 45230-2347
- **Practice address phone:** (513) 624-0055
- **Mailing address:** 7141 MIAMI AVE, 202, CINCINNATI, OH 45243-2616

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 30017898 | OH | Yes |

## Other

- **Enumeration date:** 08/22/2007
- **Last updated:** 08/22/2007