Organization
DR ITALO DI PRISCO DDS INC
Active
Other names
Greater Ohio Oral & Facial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
LESLEY COYNER (DIRECTOR OF REVENUE)
(304) 720-7819
Entity
Organization
Contact information
Practice address
5080 BRADENTON AVE, DUBLIN, OH 43017-7581
(304) 720-7819
Mailing address
103 STATION PLACE WAY, HURRICANE, WV 25526-8747
(304) 552-7688
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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