Organization
ORAL AND FACIAL SURGEONS OF OHIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES P. ELLIS DDS, MS (VICE PRESIDENT)
(614) 764-9455
Entity
Organization
Contact information
Practice address
5155 BRADENTON AVE, SUITE 100, DUBLIN, OH 43017-7558
(614) 764-9455
(614) 526-3745
Mailing address
5155 BRADENTON AVE, SUITE 100, DUBLIN, OH 43017-7558
(614) 764-9455
(614) 526-3745
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30016487
OH
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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