| Centerville Dental Center Ohio Llc | |
|
9346 Dayton Lebanon Pike Centerville OH 45458-3839 | |
| (937) 435-4150 | |
| Not Available |
| Full Name | Centerville Dental Center Ohio Llc |
|---|---|
| Speciality | Dentist |
| Location | 9346 Dayton Lebanon Pike, Centerville, Ohio |
| Authorized Official Name and Position | Opal Anderson (COO) |
| Authorized Official Contact | 9374354150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerville Dental Center Ohio Llc 9346 Dayton Lebanon Pike Centerville OH 45458-3839 Ph: () - | Centerville Dental Center Ohio Llc 9346 Dayton Lebanon Pike Centerville OH 45458-3839 Ph: (937) 435-4150 |
| NPI Number | 1427515667 |
|---|---|
| Provider Enumeration Date | 02/25/2019 |
| Last Update Date | 07/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427515667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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