Adventure Pediatric Dentistry Of Centerville - Drs. Jackson And Mason | |
273 Regency Ridge Dr Centerville OH 45459-4221 | |
(937) 586-7729 | |
Not Available |
Full Name | Adventure Pediatric Dentistry Of Centerville - Drs. Jackson And Mason |
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Speciality | Dentist - Pediatric Dentistry |
Location | 273 Regency Ridge Dr, Centerville, Ohio |
Authorized Official Name and Position | Kyle R Jackson (PARTNER) |
Authorized Official Contact | 9375867729 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Adventure Pediatric Dentistry Of Centerville - Drs. Jackson And Mason 273 Regency Ridge Dr Centerville OH 45459-4221 Ph: (937) 586-7729 | Adventure Pediatric Dentistry Of Centerville - Drs. Jackson And Mason 273 Regency Ridge Dr Centerville OH 45459-4221 Ph: (937) 586-7729 |
NPI Number | 1710364369 |
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Provider Enumeration Date | 05/04/2015 |
Last Update Date | 05/04/2015 |
Identifier | Type | State | Issuer |
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1710364369 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Professional Dental Alliance Of Centerville, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9420 Dayton Lebanon Pike, Centerville, OH 45458 Phone: 937-433-8900 | |