Coal Grove Dental | |
205 Marion Pike Coal Grove OH 45638-3165 | |
(740) 532-1188 | |
(740) 532-1183 |
Full Name | Coal Grove Dental |
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Speciality | Dentist |
Location | 205 Marion Pike, Coal Grove, Ohio |
Authorized Official Name and Position | Richard Weinberger (CFO) |
Authorized Official Contact | 3045253334 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Coal Grove Dental 2585 3rd Ave Huntington WV 25703-1642 Ph: (304) 697-1396 | Coal Grove Dental 205 Marion Pike Coal Grove OH 45638-3165 Ph: (740) 532-1188 |
NPI Number | 1316493356 |
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Provider Enumeration Date | 08/30/2016 |
Last Update Date | 08/30/2016 |
Identifier | Type | State | Issuer |
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1316493356 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (Ohio) | Primary |