North Coast Oral & Maxillofacial Surgery, Inc.

NPI #1609916667 in Sandusky, Ohio

Provider Information

NPI Number
1609916667
Entity Type
Organization
Organization Name
North Coast Oral & Maxillofacial Surgery, Inc.
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Feb 7, 2007
Last Updated
Feb 2, 2011

Practice Location

Address
2500 W. STRUB RD.
Address 2
NOMS PROFESSIONAL BLDG. #1
State
Ohio
ZIP Code
44870
Phone
(419) 627-8131

Authorized Official

Name
TERENCE PATRICK KELLY, D.D.S.
Title
PRESIDENT
Phone
(419) 627-8131

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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