Southern Ohio Oral & Facial Surgeons, Inc. | |
36 N Walnut St Chillicothe OH 45601-3114 | |
(740) 773-6159 | |
(740) 773-1078 |
Full Name | Southern Ohio Oral & Facial Surgeons, Inc. |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 36 N Walnut St, Chillicothe, Ohio |
Authorized Official Name and Position | Richard J Schoonmaker (CEO) |
Authorized Official Contact | 7407736159 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Southern Ohio Oral & Facial Surgeons, Inc. 36 N Walnut St Chillicothe OH 45601-3114 Ph: (740) 773-6159 | Southern Ohio Oral & Facial Surgeons, Inc. 36 N Walnut St Chillicothe OH 45601-3114 Ph: (740) 773-6159 |
NPI Number | 1194920322 |
---|---|
Provider Enumeration Date | 06/18/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194920322 | NPI | - | NPPES |
2052442 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 30019719 (Ohio) | Primary |
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