Organization
ORAL SURGERY ASSOCIATES OF LIMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK ALLAN CHANEY D.D.S., M.S. (OWNER)
(419) 227-5155
Entity
Organization
Contact information
Practice address
830 W HIGH ST, SUITE 301, LIMA, OH 45801-3971
(419) 227-5155
(419) 227-4370
Mailing address
830 W HIGH ST, SUITE 301, LIMA, OH 45801-3971
(419) 227-5155
(419) 227-4370
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
30017635
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0222806
—
OH
Enumeration date
08/10/2006
Last updated
08/22/2020
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