Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maxillofacial Surgery Innovative Services

Organization Clinic/Center · NPI 1962929240

Maxillofacial Surgery Innovative Services is a Clinic/Center in Mayfield Heights, Ohio. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

1284 Som Center Rd Ste 219
Mayfield Heights, OH 44124-2048
Phone: (888) 774-7773
Fax: (888) 774-7970
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1962929240
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Hancock — Credentialing Director · (515) 321-6451
NPI enumeratedAugust 28, 2017
Last updated in NPPESJuly 21, 2022
Mailing address1284 Som Center Rd Ste 219, Mayfield Heights, OH 44124-2048