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Western Lake Erie Oms Ltd.
Oral and Maxillofacial Surgery Clinic/Center in Sylvania, Ohio
NPI 1538380662

Western Lake Erie Oms Ltd. is a Oral and Maxillofacial Surgery Clinic/Center based in Sylvania, OH and is specialized in Oral and Maxillofacial Surgery. Western Lake Erie Oms Ltd. practices in Sylvania, OH. The NPI Number for Western Lake Erie Oms Ltd. is 1538380662 and holds a License No. (Ohio).

The current practice location address for Western Lake Erie Oms Ltd. is 5690 Monroe St, Sylvania, OH and can be reached out via phone at 419-479-3939 and via fax at 419-479-3933.

Location: 5690 Monroe St, Sylvania, OH, 43560-2736
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538380662
Provider Name
Western Lake Erie Oms Ltd.
Credential
Provider Entity Type
Organization
Address
5690 Monroe St, Sylvania, OH, 43560-2736
Phone Number
419-479-3939
Fax Number
419-479-3933
Provider Enumeration Date
05/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1215932504 01 OH NPI NUMBER
1578568861 01 OH NPI NUMBER
1891795233 01 OH NPI NUMBER
institution
Provider Business Practice Location Address Details
Address
5690 Monroe St
City
Sylvania
State
Ohio
Zip
43560-2736
Phone Number
419-479-3939
Fax Number
419-479-3933
person
Provider Business Mailing Address Details
Address
5690 Monroe St
City
Sylvania
State
Ohio
Zip
43560-2736
Phone Number
419-479-3939
Fax Number
419-479-3933
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Oral and Maxillofacial Surgery
Taxonomy
261QS0112X
License No.
()
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.
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Stephen Mark Shall
NPI 1215932504
Oral and Maxillofacial Surgery Clinic/Center
5690 Monroe St,
SYLVANIA, OH
43560-2736
419-479-3939
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