Mid Ohio Oral Surgery, Inc.

LBN: Mid Ohio Oral Surgery, Inc.
Mid Ohio Oral Surgery, Inc. is an health care organization with primary practice located at 4488 W Broad St , Columbus OH 43228-5610. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Mid Ohio Oral Surgery, Inc. can be contacted via phone (614) 878-7778, or through Latham, Phillip T via phone 61418787778.

Contact Information

Primary practice address
4488 W Broad St Columbus OH 43228-5610
Phone: (614) 878-7778
Fax: (614) 878-2725
Website:
Map and Directions
Authorized official contact:
Name: Latham, Phillip T Doctor of Dental Surgery (DDS)
Phone: 61418787778

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1356407258
LBN Legal business name Mid Ohio Oral Surgery, Inc.
DBA Doing business as
Authorized official Latham, Phillip T Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356407258 NPPES
Ohio MEDICAID 0417758

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