Individual
DR. RICHARD SCOTT MAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
750 BOARDMAN POLAND RD, BOARDMAN, OH 44512-5137
(330) 726-7838
(330) 726-0766
Mailing address
750 BOARDMAN POLAND RD, BOARDMAN, OH 44512-5137
(330) 726-7838
(330) 726-0766
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30018777
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
303057646
MEDICAL MUTUAL OF OHIO
OH
Enumeration date
08/02/2005
Last updated
12/05/2016
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