| Appleseed Family Dental Llc | |
|
5141 Clark Shaw Rd Powell OH 43065-8965 | |
| (740) 244-5025 | |
| Not Available |
| Full Name | Appleseed Family Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5141 Clark Shaw Rd, Powell, Ohio |
| Authorized Official Name and Position | Ming Hong Pun (OWNER/DENTIST) |
| Authorized Official Contact | 7402445025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Appleseed Family Dental Llc 5141 Clark Shaw Rd Powell OH 43065-8965 Ph: (740) 244-5025 | Appleseed Family Dental Llc 5141 Clark Shaw Rd Powell OH 43065-8965 Ph: (740) 244-5025 |
| NPI Number | 1902047798 |
|---|---|
| Provider Enumeration Date | 03/09/2009 |
| Last Update Date | 01/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902047798 | NPI | - | NPPES |
| 2286637 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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