Buckeye Oral & Maxillofacial Surgery
LBN: Buckeye Oral & Maxillofacial Surgey
Buckeye Oral & Maxillofacial Surgery is an health care organization with primary practice located at 110 Polaris Parkway Suite 110, Westerville OH 43082-0000. The organization recently has only one registered license in Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Buckeye Oral & Maxillofacial Surgey can be contacted via phone (614) 794-9700, or through Mcewan, Jack B via phone (614) 794-9700.
Contact Information
Primary practice address
110 Polaris Parkway Suite 110
Westerville OH 43082-0000
Phone: (614) 794-9700
Fax:
Website:
Authorized official contact:
Name: Mcewan, Jack B Doctor of Dental Surgery (DDS)
Phone: (614) 794-9700
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery | 261QS0112X | 30022456 | Ohio |
Profile Details
| NPI number | 1073855193 |
|---|---|
| LBN Legal business name | Buckeye Oral & Maxillofacial Surgey |
| DBA Doing business as | Buckeye Oral & Maxillofacial Surgery |
| Authorized official | Mcewan, Jack B Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 27th, 2013 |
| Last updated | Mar 27th, 2013 - 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 | 1073855193 | NPPES |
| Ohio | MEDICAID | 2711882 |
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