Jon Robert Ewig in Beavercreek - Oral And Maxillofacial Surgery
Jon Robert Ewig - NPI 1720094246
Jon Robert Ewig is a Oral And Maxillofacial Surgery in Beavercreek, Ohio. Jon Robert Ewig practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Jon Robert Ewig is 1720094246. The last update date is 2007-07-08.
Jon Robert Ewig's current location address is 3585 Wendleton Ln, Beavercreek, Ohio. You can contact this provider via phone number 9374268083 and fax number 9374262181. The mailing address for Jon Robert Ewig is 3585 Wendleton Ln, Beavercreek, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jon Robert Ewig |
|---|---|
| Address | 3585 Wendleton Ln, Beavercreek, Ohio |
| Phone Number | 9374268083 |
| Fax Number | 9374262181 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1720094246 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3585 Wendleton Ln |
|---|---|
| City | Beavercreek |
| State | Ohio (OH) |
| Post Code | 454322753 |
| Phone Number | 9374268083 |
| Fax Number | 9374262181 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 19277 |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 854928 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jon Robert Ewig by the Centers for Medicare & Medicaid Services?
The Jon Robert Ewig has been assigned the NPI (National Provider Identifier) 1720094246 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Jon Robert Ewig's facilities are geographically located?
The facilities of Jon Robert Ewig are physically situated at the following location: 3585 Wendleton Ln, Beavercreek, OH, 454322753.
What is the Jon Robert Ewig's specialty and taxonomy code?
The Jon Robert Ewig's specialty is Oral And Maxillofacial Surgery, and the corresponding taxonomy code is 1223S0112X.
On what date did Jon Robert Ewig receive its 1720094246 assignment from the Centers for Medicare & Medicaid Services?
The Jon Robert Ewig was assigned its 1720094246 on 2006-08-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jon Robert Ewig most recently updated or revised?
The information pertaining to Jon Robert Ewig, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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