National Provider Identifier Database

30TH O
Oral and Maxillofacial Surgery

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.


Contact Information

30TH & O
3600 PARK EAST DR APT 539
BEACHWOOD, OH44122-4358
Phone: 440-213-9459
Fax:
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X

* Indicates primary specialty

NPI Profile & details for 30TH & O

NPI Number 1649026022
Legal business name
LBN
30TH & O
Authorized official JACLYN TOMSIC - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 04/26/2024
Last updated 05/01/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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