Mill Creek Oral & Maxillofacial Surgery Associates Inc
LBN: Mill Creek Oral & Maxillofacial Surgery Associates Inc
Mill Creek Oral & Maxillofacial Surgery Associates Inc is an health care organization with primary practice located at 5437 Mahoning Ave Ste 12 , Austintown OH 44515-2421. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as the primary health care specialty.
Mill Creek Oral & Maxillofacial Surgery Associates Inc can be contacted via phone (330) 792-2501, or through Billy, Mark L via phone (330) 792-2501.
Contact Information
Primary practice address
5437 Mahoning Ave Ste 12
Austintown OH 44515-2421
Phone: (330) 792-2501
Fax: (330) 792-9249
Website:
Authorized official contact:
Name: Billy, Mark L Doctor of Dental Surgery (DDS)
Phone: (330) 792-2501
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 204E0000X | Ohio |
Profile Details
| NPI number | 1063549236 |
|---|---|
| LBN Legal business name | Mill Creek Oral & Maxillofacial Surgery Associates Inc |
| DBA Doing business as | |
| Authorized official | Billy, Mark L Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Jan 23rd, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063549236 | NPPES |
| Ohio | MEDICAID | 2102638 |
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