| Centerville Dental Associates | |
|
7058 Corporate Way Suite 1 Centerville OH 45459 | |
| (937) 433-8303 | |
| (937) 433-0795 |
| Full Name | Centerville Dental Associates |
|---|---|
| Speciality | Dentist |
| Location | 7058 Corporate Way, Centerville, Ohio |
| Authorized Official Name and Position | Nevada D Endicott (BUSINESS MANAGER) |
| Authorized Official Contact | 9378371888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerville Dental Associates 7058 Corporate Way Suite 1 Centerville OH 45459 Ph: (937) 433-8303 | Centerville Dental Associates 7058 Corporate Way Suite 1 Centerville OH 45459 Ph: (937) 433-8303 |
| NPI Number | 1063592798 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063592798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30016938 (Ohio) | Primary |
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