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Jackrit Mongkollugsana, DDS
Oral and Maxillofacial Surgery (Dentist) in Westerville, Ohio
NPI 1588716575

Jackrit Mongkollugsana is a Oral and Maxillofacial Surgery (Dentist) based in Westerville, OH and is specialized in Oral and Maxillofacial Surgery. Jackrit Mongkollugsana practices in Westerville, OH and has the professional credentials of DDS. The NPI Number for Jackrit Mongkollugsana is 1588716575 and holds a License No. 30-01-4580 (Ohio).

The current practice location address for Jackrit Mongkollugsana is 154 W Schrock Rd, Westerville, OH and can be reached out via phone at 614-890-7005 and via fax at 614-890-7507.

Location: 154 W Schrock Rd, Westerville, OH, 43081-4902
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588716575
Provider Name
Jackrit Mongkollugsana
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
154 W Schrock Rd, Westerville, OH, 43081-4902
Phone Number
614-890-7005
Fax Number
614-890-7507
Provider Enumeration Date
01/18/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
154 W Schrock Rd
City
Westerville
State
Ohio
Zip
43081-4902
Phone Number
614-890-7005
Fax Number
614-890-7507
person
Provider Business Mailing Address Details
Address
154 W Schrock Rd
City
Westerville
State
Ohio
Zip
43081-4902
Phone Number
614-890-7005
Fax Number
614-890-7507
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
30-01-4580 (Ohio)
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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