Western Lake Erie Oms Ltd. in Sylvania - Oral And Maxillofacial Surgery
Western Lake Erie Oms Ltd. - NPI 1538380662
Western Lake Erie Oms Ltd. is a Oral And Maxillofacial Surgery in Sylvania, Ohio. Western Lake Erie Oms Ltd. practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Western Lake Erie Oms Ltd. is 1538380662. The last update date is 2019-07-31.
Western Lake Erie Oms Ltd.'s current location address is 5690 Monroe St, Sylvania, Ohio. You can contact this provider via phone number 4194793939 and fax number 4194793933. The mailing address for Western Lake Erie Oms Ltd. is 5690 Monroe St, Sylvania, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Western Lake Erie Oms Ltd. |
|---|---|
| Address | 5690 Monroe St, Sylvania, Ohio |
| Phone Number | 4194793939 |
| Fax Number | 4194793933 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Shall Mark Stephen |
| Credentials | D.D.S. |
| Telephone Number | 4194793939 |
NPI Number Detail
| NPI Number | 1538380662 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2019-07-31 |
Provider Mailing Address Detail
| Address | 5690 Monroe St |
|---|---|
| City | Sylvania |
| State | Ohio (OH) |
| Post Code | 435602736 |
| Phone Number | 4194793939 |
| Fax Number | 4194793933 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 261Qs0112X |
|
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 |
|---|---|---|---|
| 1215932504 | OH | NPI NUMBER | |
| 1578568861 | OH | NPI NUMBER | |
| 1891795233 | OH | NPI NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Western Lake Erie Oms Ltd. by the Centers for Medicare & Medicaid Services?
The Western Lake Erie Oms Ltd. has been assigned the NPI (National Provider Identifier) 1538380662. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Western Lake Erie Oms Ltd.?
The Western Lake Erie Oms Ltd. is situated at 5690 Monroe St, in the city of Sylvania, state of OH, with the zip code 435602736.
What is Western Lake Erie Oms Ltd.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Western Lake Erie Oms Ltd.'s area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 261Qs0112X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1538380662 to Western Lake Erie Oms Ltd.?
The Centers for Medicare & Medicaid Services originally issued the 1538380662 to Western Lake Erie Oms Ltd. on 2007-05-02.
When was the information pertaining to Western Lake Erie Oms Ltd. most recently updated or revised?
The details related to Western Lake Erie Oms Ltd., including its address, specialty, and other relevant information, were last updated or revised on 2019-07-31.
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