NPI 1063549236

Mill Creek Oral & Maxillofacial Surgery Associates INC

Organisation Oral & Maxillofacial Surgery (D.M.D.) Austintown, OH

Practice location

Address: 5437 Mahoning Ave STE 12, Austintown, OH 44515-2421
Phone: (330) 792-2501
Fax: (330) 792-9249
Mailing address: 5437 Mahoning Ave Suite 12, Austintown, OH 44515-2437

Authorised official

Name: Mark L Billy
Title: President
Phone: (330) 792-2501

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 204E0000X (OH)

Other Oral & Maxillofacial Surgery providers in Ohio →

Registry record

NPI: 1063549236
Entity type: Organization
NPI issued: 27 Feb 2007
Record last updated: 23 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.