Organization
SOUTHERN OHIO ORAL & FACIAL SURGEONS, INC.
Active
Organization
SOUTHERN OHIO ORAL & FACIAL SURGEONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J SCHOONMAKER DMD (CEO)
(740) 773-6159
Entity
Organization
Contact information
Practice address
36 N WALNUT ST, CHILLICOTHE, OH 45601-3114
(740) 773-6159
(740) 773-1078
Mailing address
36 N WALNUT ST, CHILLICOTHE, OH 45601-3114
(740) 773-6159
(740) 773-1078
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30019719
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2052442
—
OH
Enumeration date
06/18/2007
Last updated
08/22/2020
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