| Buckeye Dental And Denture, Inc. | |
|
2198 Hewitt Ave Kettering OH 45440-4242 | |
| (937) 439-0834 | |
| (937) 439-0880 |
| Full Name | Buckeye Dental And Denture, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2198 Hewitt Ave, Kettering, Ohio |
| Authorized Official Name and Position | Keith Busch (OWNER) |
| Authorized Official Contact | 9374390834 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buckeye Dental And Denture, Inc. 2198 Hewitt Ave Kettering OH 45440-4242 Ph: () - | Buckeye Dental And Denture, Inc. 2198 Hewitt Ave Kettering OH 45440-4242 Ph: (937) 439-0834 |
| NPI Number | 1972717734 |
|---|---|
| Provider Enumeration Date | 05/10/2007 |
| Last Update Date | 10/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972717734 | NPI | - | NPPES |
| 0409687 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 16235 (Ohio) | Primary |
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