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624 South High Street Hillsboro OH 45133 | |
| (937) 393-3494 | |
| (937) 393-6864 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 624 South High Street, Hillsboro, Ohio |
| Authorized Official Name and Position | Daniel J. Clark (OWNER) |
| Authorized Official Contact | 9373933494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 310 Hillsboro OH 45133 Ph: (937) 393-3494 | 624 South High Street Hillsboro OH 45133 Ph: (937) 393-3494 |
| NPI Number | 1144228875 |
|---|---|
| Provider Enumeration Date | 07/07/2005 |
| Last Update Date | 03/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144228875 | NPI | - | NPPES |
| 0854375 | Medicaid | OH | |
| 792420 | Other | UNITED HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 15180 (Ohio) | Secondary |
| 122300000X | Dentist | 18843 (Ohio) | Primary |
Lesia Langston-mckenna, Dmd, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 321 Chillicothe Ave, Hillsboro, OH 45133 Phone: 937-393-1472 Fax: 937-393-4824 | |
Buckeye Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7625 Pea Ridge Rd., Hillsboro, OH 45133 Phone: 614-588-4007 | |
Boro Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4503 Us 62, Hillsboro, OH 45133 Phone: 937-393-4343 | |
Burwinkel Family Dentristry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 323 N High St, Hillsboro, OH 45133 Phone: 937-393-1634 Fax: 937-393-8509 | |
Lesia Langston-mckenna, Dmd, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 321 Chillicothe Ave, Hillsboro, OH 45133 Phone: 937-393-1472 Fax: 937-393-4824 |