| Sylvania Smile Design | |
|
510 E Mcpherson Hwy Clyde OH 43410-1243 | |
| (419) 547-6272 | |
| Not Available |
| Full Name | Sylvania Smile Design |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 510 E Mcpherson Hwy, Clyde, Ohio |
| Authorized Official Name and Position | Stephanie Moore (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 8327044262 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sylvania Smile Design Po Box 8247 Carol Stream IL 60197-8247 Ph: (727) 776-9642 | Sylvania Smile Design 510 E Mcpherson Hwy Clyde OH 43410-1243 Ph: (419) 547-6272 |
| NPI Number | 1366157786 |
|---|---|
| Provider Enumeration Date | 01/19/2023 |
| Last Update Date | 10/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366157786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |