Amherst Oral Surgery and Implant Center LLC
Organization Active NPI Oral and Maxillofacial Surgery (Dentist) · Amherst, OH
NPI 1629329198 · NPPES record last updated Sep 25, 2012
Key facts
- NPI
- 1629329198
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- License
- 35099912 (OH)
- Legal business name
- AMHERST ORAL SURGERY AND IMPLANT CENTER LLC
- Practice address
- 550 N Leavitt Rd
Amherst, OH 44001-1131 - Phone
- (440) 988-3400
- Fax
- (440) 988-3405
- NPI assigned
- Sep 25, 2012
- Organization subpart
- No
Authorized official
- Name
- Jeffrey W Kosman, D.D.S.
- Title
- Owner
- Phone
- (440) 988-3400
National Provider Directory
Locations
550 N Leavitt Rd
Amherst, OH 44001
Phone (440) 988-2688
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) |
1223S0112X | 35099912 | OH | Yes |
Addresses
Primary practice location
550 N Leavitt Rd
Amherst, OH 44001-1131
Mailing address
550 N Leavitt Rd
Amherst, OH 44001-1131
Phone (440) 988-3400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0065520 | Medicaid | OH |
Other providers in Amherst, OH
- Ambel Care Inc
- Amherst Dental Associates
- Amherst Exempted Village School District
- Amherst Hospital Association
- Amherst Manor, Inc.
- Jillian Anderson
- Nancy E Anderson
- James M Anthony
- Lucinda Dawn Anthony
- Kimberly Antush
All providers in Amherst, OH · Oral and Maxillofacial Surgery (Dentist) in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.