Northeast Oral And Maxillofacial Surgery | |
463 Waterbury Court Suite A Gahanna OH 43230 | |
(614) 471-6600 | |
(614) 471-6660 |
Full Name | Northeast Oral And Maxillofacial Surgery |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 463 Waterbury Court, Gahanna, Ohio |
Authorized Official Name and Position | Bruce Allen Fraser (OWNER) |
Authorized Official Contact | 6144716600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Northeast Oral And Maxillofacial Surgery 463 Waterbury Court Suite A Gahanna OH 43230 Ph: (614) 471-6600 | Northeast Oral And Maxillofacial Surgery 463 Waterbury Court Suite A Gahanna OH 43230 Ph: (614) 471-6600 |
NPI Number | 1790860153 |
---|---|
Provider Enumeration Date | 10/26/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790860153 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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› Verified 9 days ago
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