OrganizationActive
Eastgate Oral Surgery and Implants
NPI 1689479248 · Oral and Maxillofacial Surgery (Dentist) · Cincinnati, OH
Provider details
- NPI number
- 1689479248
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Wallace Mclaurin, Owner/Operator(601) 259-6739
Specialties & taxonomies
Dental Providers
Practice location
4452 Eastgate Blvd Ste 107
Cincinnati, OH 45245-1584
Phone: (513) 643-3192
Approximate (ZIP-level) locationGet directions
Mailing address
4452 Eastgate Blvd Ste 107
Cincinnati, OH 45245-1584
Registry dates
- Enumerated
- 2025-02-18
- Last updated
- 2025-02-18
- Certified
- 2025-02-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.