| Alexander J Mcilvaine Dmd Llc | |
|
235 Broad St Wadsworth OH 44281-2112 | |
| (330) 335-1563 | |
| (330) 335-1563 |
| Full Name | Alexander J Mcilvaine Dmd Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 235 Broad St, Wadsworth, Ohio |
| Authorized Official Name and Position | Alexander Jentes Mcilvaine (SOLE MEMBER) |
| Authorized Official Contact | 3304144083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander J Mcilvaine Dmd Llc 235 Broad St Wadsworth OH 44281-2112 Ph: (330) 335-1563 | Alexander J Mcilvaine Dmd Llc 235 Broad St Wadsworth OH 44281-2112 Ph: (330) 335-1563 |
| NPI Number | 1831577717 |
|---|---|
| Provider Enumeration Date | 05/12/2015 |
| Last Update Date | 05/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831577717 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30-023708 (Ohio) | Primary |
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