COMPREHENSIVE ORAL & MAXILLOFACIAL SURGERY CENTER (NPI# 1164854774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164854774 |
Entity Type | Organization |
Organization Name | COMPREHENSIVE ORAL & MAXILLOFACIAL SURGERY CENTER |
Practice Address |
5319 Meadow Lane Ct Sheffield Village OH 44035-1469 |
Practice Telephone | 4409342626 |
Practice Fax Number | 4409342628 |
Mailing Telephone | 4409342626 |
Mailing Fax Number | 4409342628 |
Enumeration Date | 2013-08-06 |
Last Update Date | 2013-08-06 |
Authorized Official Name | DR. JEFFREY WILLIAM KOSMAN (PRESIDENT) |
Authorized Official Telephone | 4409342626 |
Authorized Official Credential | D.M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
30020221 | OH | Ambulatory Health Care Facilities |
Street Address |
5319 MEADOW LANE CT |
City | SHEFFIELD VILLAGE |
State | OH |
Zip Code | 44035-1469 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114962602 | Rogener B Lacerna | Family Medicine | 5319 Meadow Lane Ct, Sheffield Village, OH 44035-1469 | 2006-06-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013514546 | Monica Sue Lane | Homemaker | 244 13th St, Elyria, OH 44035 | 2020-10-07 |
1457958993 | Joaquin Deandre Page | Homemaker | 116 Parkview Ct, Elyria, OH 44035 | 2020-10-07 |
1740887751 | Kelley Jean Duga | Home Health Aide | 46058 Russia Rd, Elyria, OH 44035 | 2020-10-02 |
1407477946 | Ashley Langer | Nurse Practitioner | 660 E Broad St, Elyria, OH 44035 | 2020-05-06 |
1518593730 | Scott Michael Hartman | Nurse Practitioner | 630 East River Streer, Elyria, OH 44035 | 2020-03-19 |
1609415793 | Melanie Scott | Registered Nurse | 830 East Broad St, Uh Hospitals Elyria, Elyria, OH 44035 | 2020-01-06 |
1922647478 | Hyatt Family Dental, LLC | Dentist | 301 East Avenue, Elyria, OH 44035 | 2020-01-02 |
1255988051 | Ashlee Marie Reale | Student in an Organized Health Care Education/Training Program | 347 Middle Blvd #210, Elyria, OH 44035 | 2019-08-26 |
1821656380 | Amber Mahone | Case Manager/Care Coordinator | 342 Midway Blvd Ste 210, Elyria, OH 44035 | 2019-05-30 |
1548788151 | Robin Lee Newhart | Physical Therapist | 1885 Lake Avenue, Elyria, OH 44035 | 2017-09-03 |
Find all providers in zip 44035 |
Taxonomy Code | 261QS0112X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073855193 | Buckeye Oral & Maxillofacial Surgey | Clinic/Center | 110 Polaris Parkway, Suite 110, Westerville, OH 43082-0000 | 2013-03-27 |
1588131528 | James A Maxwell Jr Dds, Inc | Clinic/Center | 2210 Olympic St, Springfield, OH 45503-2737 | 2018-10-29 |
1013450014 | Muskingum Valley Oral Surgery, Inc. | Clinic/Center | 7297 John Glenn Hwy, Cambridge, OH 43725-9034 | 2016-11-22 |
1508209446 | Nationwide Children's | Clinic/Center | 700 Childrens Dr, Columbus, OH 43205-2664 | 2013-04-10 |
1760723902 | Case School of Dental Medicine | Clinic/Center | 2124 Cornell Rd, Cleveland, OH 44106-3804 | 2013-03-13 |
1083907539 | Brian C. Weaver, Dds, LLC | Clinic/Center | 627 Office Pkwy, Suite B, Westerville, OH 43082-7988 | 2011-05-17 |
1356667323 | Dennis G Pettit Dds Inc | Clinic/Center | 1762 Commerce Center Blvd, Fairborn, OH 45324-6358 | 2010-04-15 |
1427383272 | Western Reserve Center for Orofacial and Cosmetic Surgery | Clinic/Center | 14700 Detroit Ave, Lakewood, OH 44107-4116 | 2009-10-13 |
1700027042 | Kenneth J Molnar Dds Inc | Clinic/Center | 2191 Park Ave W, Mansfield, OH 44906-1226 | 2009-03-17 |
1861663106 | Center for Oral and Maxillofacial Surgery | Clinic/Center | 28871 Center Ridge Rd, Suite 104, Westlake, OH 44145-5271 | 2008-03-14 |
Find all providers with the same taxonomy |
City | SHEFFIELD VILLAGE |
Zip Code | 44035 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.