| Centerville Family Dental | |
|
9420 Lebanon Pike Centerville OH 45458-3860 | |
| (937) 433-8900 | |
| (937) 433-8905 |
| Full Name | Centerville Family Dental |
|---|---|
| Speciality | Dentist |
| Location | 9420 Lebanon Pike, Centerville, Ohio |
| Authorized Official Name and Position | John Clarke Sanders (OWNER) |
| Authorized Official Contact | 6148643196 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerville Family Dental 9420 Lebanon Pike Centerville OH 45458-3860 Ph: (937) 433-8900 | Centerville Family Dental 9420 Lebanon Pike Centerville OH 45458-3860 Ph: (937) 433-8900 |
| NPI Number | 1659504884 |
|---|---|
| Provider Enumeration Date | 09/04/2009 |
| Last Update Date | 09/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659504884 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 17563 (Ohio) | Primary |
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