Organization
ORAL SURGERY ASSOCIATES OF LIMA
Active
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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