Charles K. Dematte Dds Inc | |
334 Main St Bridgeport OH 43912-1346 | |
(740) 635-2567 | |
(740) 635-1976 |
Full Name | Charles K. Dematte Dds Inc |
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Speciality | Dentist - General Practice |
Location | 334 Main St, Bridgeport, Ohio |
Authorized Official Name and Position | Charles Kenneth Dematte (OWNER) |
Authorized Official Contact | 7406352567 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Charles K. Dematte Dds Inc 334 Main St Bridgeport OH 43912-1346 Ph: (740) 635-2567 | Charles K. Dematte Dds Inc 334 Main St Bridgeport OH 43912-1346 Ph: (740) 635-2567 |
NPI Number | 1801050968 |
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Provider Enumeration Date | 07/17/2008 |
Last Update Date | 07/17/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801050968 | NPI | - | NPPES |
0604019 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 15334 (Ohio) | Primary |