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MID OHIO ORAL SURGERY, INC.
NPI 1356407258
Dentist - Oral and Maxillofacial Surgery in Columbus, OH

Active since December 28, 2006
4488 W BROAD ST, COLUMBUS, OH 43228(614) 878-7778(614) 878-2725 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mid Ohio Oral Surgery, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MID OHIO ORAL SURGERY, INC. (NPI 1356407258) is a healthcare organization registered as an oral and maxillofacial surgery in Columbus, Ohio and active in the NPI registry since December 2006. The organization lists Phillip T Latham, President - Surgeon, as its authorized official.

NPPES Registry Identity

NPI1356407258
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameMID OHIO ORAL SURGERY, INC.
Location Address4488 W BROAD STColumbus, OH 43228-5610
Mailing Address4488 W Broad StColumbus, OH 43228-5610 · (614) 878-7778 · Fax (614) 878-2725
Phone(614) 878-7778
Fax(614) 878-2725
Organization SubpartNo
Authorized OfficialPhillip T LathamPresident - Surgeon · 61418787778
Enumeration DateDecember 28, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1356407258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition
An oral and maxillofacial surgery dentist specialized in 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.
4488 W BROAD ST, Columbus, OH 43228
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Other Identifiers 1

Medicaid0417758OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOFFOU KATHERINE TCHOULA
Social Worker (Clinical)
4488 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 334-6903
PATRICK LEY SEYMOUR
Assistant Behavior Analyst
4488 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 639-5494
MS. SYLVIA M ARDIS MFT
Marriage & Family Therapist
4488 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 877-0667
MICHAEL SCHAEFER P.C.C.
Counselor (Professional)
4488 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 870-6670
JOANNA MCCLAIN LCDC III
Counselor (Addiction (Substance Use Disorder))
4488 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 639-5494
KYLE DINGMAN
Peer Specialist
4488 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 639-5494
MARY E SCOTT M.D INC.
Family Medicine
4488 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 878-0470
ALEZANDRIA WINSTON
Case Manager/Care Coordinator
4488 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 639-5494

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mid Ohio Oral Surgery, Inc.'s NPI number?

The NPI number for Mid Ohio Oral Surgery, Inc. is 1356407258. It was assigned to this organization in the NPPES registry on December 28, 2006.

Where is Mid Ohio Oral Surgery, Inc. located?

Mid Ohio Oral Surgery, Inc. is located at 4488 W Broad St, Columbus, OH 43228. The listed phone number is (614) 878-7778.

What is Mid Ohio Oral Surgery, Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Mid Ohio Oral Surgery, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.