| Cd Ohio Derrick Kruger Dds, Inc. | |
|
2010 W 19th St Ashtabula OH 44004-9709 | |
| (440) 992-2700 | |
| (440) 964-0542 |
| Full Name | Cd Ohio Derrick Kruger Dds, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2010 W 19th St, Ashtabula, Ohio |
| Authorized Official Name and Position | Ty Justice (DIRECTOR, CREDENTIALING) |
| Authorized Official Contact | 5138084984 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cd Ohio Derrick Kruger Dds, Inc. 9825 Kenwood Rd Ste 200 Blue Ash OH 45242-6252 Ph: (513) 808-4984 | Cd Ohio Derrick Kruger Dds, Inc. 2010 W 19th St Ashtabula OH 44004-9709 Ph: (440) 992-2700 |
| NPI Number | 1720838550 |
|---|---|
| Provider Enumeration Date | 03/25/2024 |
| Last Update Date | 03/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720838550 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Ashtabula Sleep Medicine Llc Dental Clinic Medicare: Medicare Enrolled Practice Location: 5005 State Rd, Ashtabula, OH 44004 Phone: 440-992-3146 Fax: 440-998-6932 | |
The Healthy Smile Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2010 W 19th St, Ashtabula, OH 44004 Phone: 440-992-2700 Fax: 440-964-0542 | |
Ashtabula Dental Associates, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5005 State Rd, Ashtabula, OH 44004 Phone: 440-992-3146 Fax: 440-998-6932 |