Mid Ohio Oral Surgery, Inc.
Oral and Maxillofacial Dental Clinic
4488 W Broad St, Columbus
Ohio, 43228-5610
614-878-7778 614-878-2725
Maps & DirectionsMid Ohio Oral Surgery, Inc. is a Oral and Maxillofacial Dental Clinic in Columbus, Ohio. It is located at 4488 W Broad St, Columbus, OH and its contact number is 614-878-7778. The authorized person for Mid Ohio Oral Surgery, Inc. is Dr. Phillip T Latham
who is President - Surgeon of the clinic and their contact number is 614-187-87778.
Mid Ohio Oral Surgery, Inc. Clinic deals with 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.
Complete Clinic Profile:
Mid Ohio Oral Surgery, Inc. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Mid Ohio Oral Surgery, Inc. |
| Specialization: | Oral and Maxillofacial Surgery |
| Clinic Address: | 4488 W Broad St, Columbus,
Ohio, 43228-5610 |
| Phone: | 614-878-7778 |
| Fax: | 614-878-2725 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Phillip T Latham |
| Position: | President - Surgeon |
| Contact Number: | 614-187-87778 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Mid Ohio Oral Surgery, Inc. clinic are as mentioned below.
| NPI Number: | 1356407258 |
| NPI Enumeration Date: | 28 Dec, 2006 |
| NPI Last Update On: | 22 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mid Ohio Oral Surgery, Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Oral and Maxillofacial Surgery | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0417758 | Medicaid | Ohio | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mid Ohio Oral Surgery, Inc.
4488 W Broad St,
Columbus, Ohio |
| Zip: | 43228-5610 |
| Phone Number: | 614-878-7778 |
| Fax Number: | 614-878-2725 |
Patients can reach Mid Ohio Oral Surgery, Inc. at
4488 W Broad St, Columbus, Ohio or can
call to book an appointment on 614-878-7778.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.