MAXILLOFACIAL SURGERY INNOVATIVE SERVICES is a clinic center in Mayfield Heights, OH. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MAXILLOFACIAL SURGERY INNOVATIVE SERVICES NPI is 1962929240. The provider is registered as an organization entity type.
The provider's business location address is:
1284 SOM CENTER RD STE 219
MAYFIELD HEIGHTS, OH
ZIP 44124-048
Phone: (888) 774-7773
Fax: (888) 774-7970
The provider's authorized official is Michelle Ann Hancock .
The authorized official title is Credentialing Director and has the following contact phone number (515) 321-6451.
The enumeration date for this NPI number is 8/28/2017 and was last updated on 7/21/2022.