# BEXLEY JAW & FACIAL SURGERY, INC

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

## Provider details

- **NPI number:** 1891046678
- **Authorized official:** AMY R COLLINS (BILLING COORDINATOR)
- **Authorized official phone:** (614) 751-7500

## Contact information

- **Practice address:** 3366 E BROAD ST, COLUMBUS, OH 43213-1008
- **Practice address phone:** (614) 236-8008
- **Practice address fax:** (614) 322-7900
- **Mailing address:** 1575 CROSS CREEKS BLVD, PICKERINGTON, OH 43147-8237
- **Mailing address phone:** (614) 751-7500
- **Mailing address fax:** (614) 322-7900

## 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:** 09/20/2012
- **Last updated:** 09/20/2012