| Beavercreek Pediatric Dentistry | |
|
3300 Kemp Road Beavercreek OH 45431 | |
| (937) 426-2653 | |
| (937) 426-1124 |
| Full Name | Beavercreek Pediatric Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 3300 Kemp Road, Beavercreek, Ohio |
| Authorized Official Name and Position | Gordon W Wommack (OWNER) |
| Authorized Official Contact | 9374262653 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beavercreek Pediatric Dentistry 3300 Kemp Road Beavercreek OH 45431 Ph: (937) 426-2653 | Beavercreek Pediatric Dentistry 3300 Kemp Road Beavercreek OH 45431 Ph: (937) 426-2653 |
| NPI Number | 1245382068 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 07/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245382068 | NPI | - | NPPES |
| 0617587 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 17287 (Ohio) | Primary |
Ronald A. Vitullo, Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1911 N Fairfield Rd, Suite 130, Beavercreek, OH 45432 Phone: 937-426-2253 Fax: 937-426-7891 | |
Brilliant Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4049 Dayton Xenia Rd, Suite 200, Beavercreek, OH 45432 Phone: 937-429-3880 | |
Miami Valley Oral Surgery And Dental Implants Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3585 Wendleton Ln, Beavercreek, OH 45432 Phone: 937-426-8083 Fax: 937-426-2818 | |
Bryan Dodd Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3223 Beaver Vu Dr, Beavercreek, OH 45434 Phone: 937-429-9999 Fax: 937-427-3087 | |
Sarah M. Smith, Dmd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2374 Lakeview Dr, Beavercreek, OH 45431 Phone: 937-431-0947 | |
Beavercreek Endodontics- Emily Lammers Dds Ms Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1555 Marsetta Dr, Beavercreek, OH 45432 Phone: 937-426-7611 Fax: 937-426-4331 |