| Brunswick Smilekeepers | |
|
4313 Regal Ave Brunswick OH 44212-2978 | |
| (330) 225-0105 | |
| (330) 220-7883 |
| Full Name | Brunswick Smilekeepers |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4313 Regal Ave, Brunswick, Ohio |
| Authorized Official Name and Position | Matt M Gaebelein (DENTIST) |
| Authorized Official Contact | 3302250105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brunswick Smilekeepers 4313 Regal Ave Brunswick OH 44212-2978 Ph: (330) 225-0105 | Brunswick Smilekeepers 4313 Regal Ave Brunswick OH 44212-2978 Ph: (330) 225-0105 |
| NPI Number | 1538415203 |
|---|---|
| Provider Enumeration Date | 07/31/2012 |
| Last Update Date | 07/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538415203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 20066 (Ohio) | Primary |
| 1223G0001X | Dentist - General Practice | 14831 (Ohio) | Secondary |
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