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

Mid Ohio Oral Surgery, Inc

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1356407258

Mid Ohio Oral Surgery, Inc is an Oral and Maxillofacial Surgery (Dentist) in Columbus, Ohio. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4488 W Broad St
Columbus, OH 43228-5610
Phone: (614) 878-7778
Fax: (614) 878-2725
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X

Record details

NPI number1356407258
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phillip Latham — President - Surgeon · 61418787778
NPI enumeratedDecember 28, 2006
Last updated in NPPESAugust 22, 2020
Mailing address4488 W Broad St, Columbus, OH 43228-5610

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