| Amherst Oral Surgery And Implant Center Llc | |
|
550 N Leavitt Rd Amherst OH 44001-1131 | |
| (440) 988-3400 | |
| (440) 988-3405 |
| Full Name | Amherst Oral Surgery And Implant Center Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 550 N Leavitt Rd, Amherst, Ohio |
| Authorized Official Name and Position | Jeffrey W Kosman (OWNER) |
| Authorized Official Contact | 4409883400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amherst Oral Surgery And Implant Center Llc 550 N Leavitt Rd Amherst OH 44001-1131 Ph: (440) 988-3400 | Amherst Oral Surgery And Implant Center Llc 550 N Leavitt Rd Amherst OH 44001-1131 Ph: (440) 988-3400 |
| NPI Number | 1629329198 |
|---|---|
| Provider Enumeration Date | 09/25/2012 |
| Last Update Date | 09/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629329198 | NPI | - | NPPES |
| 0065520 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 35099912 (Ohio) | Primary |
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