Organization
NEW ALBANY JAW AND FACIAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY R COLLINS (BILLING OFFICE COORDINATOR)
(614) 751-7500
Entity
Organization
Contact information
Practice address
5101 FOREST DR, SUITE B, NEW ALBANY, OH 43054-8215
(614) 751-7500
(614) 322-7900
Mailing address
1575 CROSS CREEKS BLVD, PICKERINGTON, OH 43147-8237
(614) 751-7500
(614) 322-7900
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
20162
OH
Other
Enumeration date
09/04/2012
Last updated
09/04/2012
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