OrganizationActive
30th & O
NPI 1649026022 · Oral and Maxillofacial Surgery Clinic/Center · Beachwood, OH
Provider details
- NPI number
- 1649026022
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Jaclyn Tomsic, President
Practice location
3600 Park East Dr Apt 539
Beachwood, OH 44122-4358
Phone: (440) 213-9459
Mailing address
3600 Park East Dr Apt 539
Beachwood, OH 44122-4358
Registry dates
- Enumerated
- 2024-04-26
- Last updated
- 2024-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.