Ian Charles Mccomb
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
6112 Merlin Ct
Midland
, Michigan 48640
Ian Charles Mccomb
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
6112 Merlin Ct
Midland
, Michigan 48640
(708) 216-9000
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Ian Charles Mccomb
- 2160 S 1st Ave
- Maywood, IL
- Zip : 60153-3328
- Phone : (708) 216-9000
Second Address
- Ian Charles Mccomb
- 6112 Merlin Ct
- Midland, MI
- Zip : 48640
- Phone : (989) 839-9979
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Is Ian Charles Mccomb accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223S0112X | Oral and Maxillofacial Surgeon | 019029867 | IL |
| Y | 204E00000X | Oral & Maxillofacial Surgeon | 021003032 | IL |
| N | 204E00000X | Oral & Maxillofacial Surgeon | 2901022524 | MI |
National Provider Identifier
| NPI | 1003234287 |
|---|---|
| Provider Name | Ian Charles Mccomb |
| First Address | Maywood, IL 60153-3328 |
| Second Address | Midland, MI 48640 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/04/2014 |
| Last Update Date | 05/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.