Provider Demographics
NPI:1023032786
Name:JOHN N. SANTIN D.D.S., INC
Entity Type:Organization
Organization Name:JOHN N. SANTIN D.D.S., INC
Other - Org Name:AKRON AREA ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ORAL AND MAXILLOFACIAL SURGEON
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:N
Authorized Official - Last Name:SANTIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:330-645-6637
Mailing Address - Street 1:3503 FORTUNA DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312-5285
Mailing Address - Country:US
Mailing Address - Phone:330-645-6637
Mailing Address - Fax:330-645-6688
Practice Address - Street 1:3503 FORTUNA DR
Practice Address - Street 2:SUITE 1
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44312-5285
Practice Address - Country:US
Practice Address - Phone:330-645-6637
Practice Address - Fax:330-645-6688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH167921223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty